| LCA CASE NUMBER | I-200-21258-583868 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-14 |
| DECISION DATE | 2021-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Java Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2024-10-31 |
| 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 | Henry Schein One, LLC |
| EMPLOYER ADDRESS1 | 1220 South 630 East |
| EMPLOYER CITY | American Fork |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84003 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18018474202 |
| NAICS CODE | 541512 |
| EMPLOYER POC LAST NAME | Befus |
| EMPLOYER POC FIRST NAME | Tanya |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS1 | 1220 South 630 East |
| EMPLOYER POC CITY | American Fork |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84003 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18018474202 |
| EMPLOYER POC EMAIL | tanya.befus@henryschein.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 | sharon.nguyen@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 | 720 Olive Way |
| WORKSITE ADDRESS2 | Suite 1100 |
| LCA CASE WORKLOC1 CITY | Seattle |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98101 |
| LCA CASE WAGE RATE FROM | 115000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 97760 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Nguyen |
| PREPARER FIRST NAME | Sharon |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen, & Loewy, LLP |
| PREPARER EMAIL | sharon.nguyen@fragomen.com |
