| LCA CASE NUMBER | I-200-21113-255185 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-23 |
| DECISION DATE | 2021-04-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Vice President, Software Engineering |
| SOC CODE | 11-9041.00 |
| SOC TITLE | Architectural and Engineering Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-03 |
| END DATE | 2024-05-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Collective Health Inc. |
| EMPLOYER ADDRESS1 | 85 Bluxome St. |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18442653288 |
| NAICS CODE | 62161 |
| EMPLOYER POC LAST NAME | Uriarte |
| EMPLOYER POC FIRST NAME | Vina |
| EMPLOYER POC JOB TITLE | Compensation and Benefits Specialist |
| EMPLOYER POC ADDRESS 1 | 85 Bluxome Street |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94107 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12095055058 |
| EMPLOYER POC EMAIL | vina.uriarte@collectivehealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tafapolsky |
| AGENT ATTORNEY FIRST NAME | Alan |
| AGENT ATTORNEY ADDRESS1 | 90 New Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | 8th Floor |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159759800 |
| AGENT ATTORNEY EMAIL ADDRESS | tracy.cole@tandslaw.com |
| LAWFIRM NAME BUSINESS NAME | Tafapolsky & Smith LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 85 Bluxome Street |
| LCA CASE WORKLOC1 CITY | San Francisco |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94107 |
| LCA CASE WAGE RATE FROM | 294000 |
| LCA CASE WAGE RATE TO | 314000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 221998 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Cole_C001 |
| PREPARER FIRST NAME | Tracy |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Tafapolskly & Smith LLP |
| PREPARER EMAIL | tracy.cole@tandslaw.com |
