| LCA CASE NUMBER | I-200-21215-497530 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-02 |
| DECISION DATE | 2021-08-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Mgr, Enterprise Risk & Internal Controls |
| SOC CODE | 15-1199.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 | MOLINA HEALTHCARE, INC. |
| EMPLOYER ADDRESS1 | 200 OCEANGATE |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Long Beach |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90802 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18885625442 |
| NAICS CODE | 621491 |
| EMPLOYER POC LAST NAME | Otremba |
| EMPLOYER POC FIRST NAME | Nour |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 200 Oceangate |
| EMPLOYER POC ADDRESS2 | Suite 100 |
| EMPLOYER POC CITY | Long Beach |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90802 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18885625442 |
| EMPLOYER POC EMAIL | nour.otremba@molinahealthcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Song |
| AGENT ATTORNEY FIRST NAME | Shelly |
| AGENT ATTORNEY MIDDLE NAME | Han |
| AGENT ATTORNEY ADDRESS1 | 444 S Flower St. |
| AGENT ATTORNEY ADDRESS2 | Ste. 500 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90071 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13108203322 |
| AGENT ATTORNEY EMAIL ADDRESS | Annel.Flores@fragomen.com |
|
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 200 Oceangate |
| WORKSITE ADDRESS2 | Suite 100 |
| LCA CASE WORKLOC1 CITY | Long Beach |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90802 |
| LCA CASE WAGE RATE FROM | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89835 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Flores |
| PREPARER FIRST NAME | Annel |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen, & Loewy LLP |
| PREPARER EMAIL | Annel.Flores@fragomen.com |
