| LCA CASE NUMBER | I-200-21291-652179 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-10-18 |
| DECISION DATE | 2022-03-03 |
| ORIGINAL CERT DATE | 2021-10-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Director of IT Strategic Initiatives |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-17 |
| END DATE | 2025-04-16 |
| 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 | Partnership HealthPlan of California |
| EMPLOYER ADDRESS1 | 4665 Business Center Drive |
| EMPLOYER CITY | Fairfield |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94534 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17078634100 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Mangabay |
| EMPLOYER POC FIRST NAME | Tammy |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS1 | 4665 Business Center Drive |
| EMPLOYER POC CITY | Fairfield |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94534 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17078634244 |
| EMPLOYER POC EMAIL | tmangabay@partnershiphp.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wu |
| AGENT ATTORNEY FIRST NAME | Clifton |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 3590 North First Street |
| AGENT ATTORNEY ADDRESS2 | Suite 310 |
| AGENT ATTORNEY CITY | San Jose |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95134 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14084329200 |
| AGENT ATTORNEY EMAIL ADDRESS | olivia@immigrationlawgroup.net |
| LAWFIRM NAME BUSINESS NAME | Immigration Law Group LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4665 Business Center Drive |
| LCA CASE WORKLOC1 CITY | Fairfield |
| WORKSITE COUNTY | SOLANO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94534 |
| LCA CASE WAGE RATE FROM | 179837 |
| LCA CASE WAGE RATE TO | 223300 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 179837 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 | Jang |
| PREPARER FIRST NAME | Olivia |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Immigration Law Group LLP |
| PREPARER EMAIL | olivia@immigrationlawgroup.net |
