| LCA CASE NUMBER | I-200-21287-644818 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-14 |
| DECISION DATE | 2021-10-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT DATA MANAGEMENT/SR. SPECIALIST |
| SOC CODE | 15-1141.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-01 |
| END DATE | 2024-12-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES |
| EMPLOYER ADDRESS1 | 724 QUINCE STREET SE |
| EMPLOYER CITY | OLYMPIA |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98504 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13606644475 |
| NAICS CODE | 923130 |
| EMPLOYER POC LAST NAME | GONZALEZ |
| EMPLOYER POC FIRST NAME | CYNTHIA |
| EMPLOYER POC JOB TITLE | HR BUSINESS PARTNER - ECONOMIC SERVICES ADMINISTRATION |
| EMPLOYER POC ADDRESS1 | 6737 CAPITOL BLVD S |
| EMPLOYER POC ADDRESS2 | MAIL STOP 45884 |
| EMPLOYER POC CITY | TUMWATER |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15649993236 |
| EMPLOYER POC EMAIL | CYNTHIA.GONZALEZ@DSHS.WA.GOV |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | ENGLISH |
| AGENT ATTORNEY FIRST NAME | SHARON |
| AGENT ATTORNEY ADDRESS1 | 7141 CLEANWATER DRIVE SW |
| AGENT ATTORNEY CITY | OLYMPIA |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98501 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13606644167 |
| AGENT ATTORNEY EMAIL ADDRESS | LPDIMMIGRATION@ATG.WA.GOV |
| LAWFIRM NAME BUSINESS NAME | STATE OF WASHINGTON OFFICE OF THE ATTORNEY GENERAL |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | SUPREME |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 724 QUINCE STREET SE |
| LCA CASE WORKLOC1 CITY | OLYMPIA |
| WORKSITE COUNTY | THURSTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98504 |
| LCA CASE WAGE RATE FROM | 106824 |
| LCA CASE WAGE RATE TO | 111824 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 98550 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | KESSLER |
| PREPARER FIRST NAME | PAUL |
| PREPARER MIDDLE INITIAL | F |
| PREPARER BUSINESS NAME | STATE OF WASHINGTON OFFICE OF THE ATTORNEY GENERAL |
| PREPARER EMAIL | LPDIMMIGRATION@ATG.WA.GOV |
