| LCA CASE NUMBER | I-200-21131-303836 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-11 |
| DECISION DATE | 2021-05-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Assistant Controller |
| SOC CODE | 13-2011.01 |
| SOC TITLE | Accountants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Providence Medical Technology, Inc. |
| EMPLOYER ADDRESS1 | 3875 HOPYARD RD |
| EMPLOYER ADDRESS2 | STE 300 |
| EMPLOYER CITY | PLEASANTON |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94588 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16505756986 |
| NAICS CODE | 334510 |
| EMPLOYER POC LAST NAME | Windes |
| EMPLOYER POC FIRST NAME | Eric |
| EMPLOYER POC MIDDLE NAME | Van Ingen |
| EMPLOYER POC JOB TITLE | Controller |
| EMPLOYER POC ADDRESS 1 | 3875 HOPYARD RD |
| EMPLOYER POC ADDRESS 2 | STE 300 |
| EMPLOYER POC CITY | PLEASANTON |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94588 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16505756986 |
| EMPLOYER POC EMAIL | ewindes@providencemt.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | AUBIN |
| AGENT ATTORNEY FIRST NAME | IEVA |
| AGENT ATTORNEY ADDRESS1 | 701 FIFTH AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 6100 |
| AGENT ATTORNEY CITY | SEATTLE |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12069038800 |
| AGENT ATTORNEY EMAIL ADDRESS | SEATTLEIMM@DORSEY.COM |
|
| LAWFIRM NAME BUSINESS NAME | DORSEY & WHITNEY LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | WASHINGTON STATE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3875 HOPYARD RD |
| WORKSITE ADDRESS2 | STE 300 |
| LCA CASE WORKLOC1 CITY | PLEASANTON |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94588 |
| LCA CASE WAGE RATE FROM | 93600 |
| LCA CASE WAGE RATE TO | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 93600 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
