| LCA CASE NUMBER | I-200-21127-297016 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-07 |
| DECISION DATE | 2021-05-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SQL Database Administrator |
| SOC CODE | 15-1141.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-17 |
| END DATE | 2024-05-16 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Cook Shared Services Incorporated |
| EMPLOYER ADDRESS1 | 750 Daniels Way |
| EMPLOYER CITY | Bloomington |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18123392235 |
| NAICS CODE | 551114 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Greg |
| EMPLOYER POC JOB TITLE | Director, Global Human Resources |
| EMPLOYER POC ADDRESS 1 | 750 Daniels Way |
| EMPLOYER POC CITY | Bloomington |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47404 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18123392235 |
| EMPLOYER POC EMAIL | elaina.deiner@CookMedical.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Glier |
| AGENT ATTORNEY FIRST NAME | Christl |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | One American Square |
| AGENT ATTORNEY ADDRESS2 | Suite 2900 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46282 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13172362314 |
| AGENT ATTORNEY EMAIL ADDRESS | dickson@icemiller.com |
| LAWFIRM NAME BUSINESS NAME | Ice Miller LLP |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Indiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 535 Pontius Ave N |
| WORKSITE ADDRESS2 | Apt 401 |
| LCA CASE WORKLOC1 CITY | Seattle |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98109 |
| LCA CASE WAGE RATE FROM | 90000 |
| LCA CASE WAGE RATE TO | 100000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 78478 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
