| LCA CASE NUMBER | I-200-21161-384900 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-09 |
| DECISION DATE | 2021-06-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Commercial and Industrial Designer |
| SOC CODE | 27-1021.00 |
| SOC TITLE | Commercial and Industrial Designers |
| 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 | Healthcare Arizona LLC |
| EMPLOYER ADDRESS1 | 3350 N. Cotton Ln |
| EMPLOYER CITY | Goodyear |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85338 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16023094203 |
| NAICS CODE | 33791 |
| EMPLOYER POC LAST NAME | Solis |
| EMPLOYER POC FIRST NAME | Edgar |
| EMPLOYER POC JOB TITLE | Finance Director |
| EMPLOYER POC ADDRESS 1 | 3350 N. Cotton Ln |
| EMPLOYER POC CITY | Goodyear |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85338 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16023094203 |
| EMPLOYER POC EMAIL | edgar.solis@healthcareazllc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gong |
| AGENT ATTORNEY FIRST NAME | Shiyang |
| AGENT ATTORNEY ADDRESS1 | 160 E Tasman Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 105 |
| AGENT ATTORNEY CITY | San Jose |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95134 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14086178947 |
| AGENT ATTORNEY EMAIL ADDRESS | sgong@dehengsv.com |
| LAWFIRM NAME BUSINESS NAME | DeHeng Law Offices |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court Appellate Division |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3350 N. Cotton Ln |
| LCA CASE WORKLOC1 CITY | Goodyear |
| WORKSITE COUNTY | MARICOPA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85338 |
| LCA CASE WAGE RATE FROM | 54683 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 54683 |
| 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 |
| PREPARER LAST NAME | Gong |
| PREPARER FIRST NAME | Shiyang |
| PREPARER BUSINESS NAME | DeHeng Law Office |
| PREPARER EMAIL | sgong@dehengsv.com |
