| LCA CASE NUMBER | I-200-22006-811399 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-01-05 |
| DECISION DATE | 2022-01-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ACCOUNTANT |
| SOC CODE | 13-2011.01 |
| SOC TITLE | Accountants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-17 |
| END DATE | 2025-01-16 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PACIFIC MED & NEPHROLOGY |
| TRADE NAME DBA | PACIFIC MEDICAL GROUP |
| EMPLOYER ADDRESS1 | 736 ROUTE 4 |
| EMPLOYER ADDRESS2 | SUITE 103 |
| EMPLOYER CITY | SINAJANA |
| EMPLOYER STATE | GU |
| EMPLOYER POSTAL CODE | 96910 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16716497232 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | MADDAH |
| EMPLOYER POC FIRST NAME | MERSEDEH |
| EMPLOYER POC JOB TITLE | ADMINISTRATOR AND HUMAN RESOURCE DIRECTOR |
| EMPLOYER POC ADDRESS1 | 736 ROUTE 4 |
| EMPLOYER POC ADDRESS2 | SUITE 103 |
| EMPLOYER POC CITY | SINAJANA |
| EMPLOYER POC STATE | GU |
| EMPLOYER POC POSTAL CODE | 96910 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16716497232 |
| EMPLOYER POC EMAIL | M.MERSEDEH@PACMEDGUAM.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BAUMANN |
| AGENT ATTORNEY FIRST NAME | LADD |
| AGENT ATTORNEY MIDDLE NAME | ARTHUR |
| AGENT ATTORNEY ADDRESS1 | 238 ARCHBISHOP FLORES STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 903 DNA BUILDING |
| AGENT ATTORNEY CITY | HAGATNA |
| AGENT ATTORNEY STATE | GU |
| AGENT ATTORNEY POSTAL CODE | 96910 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16714779084 |
| AGENT ATTORNEY EMAIL ADDRESS | LADD.BAUMANN@BAUMANNGUAM.COM |
| LAWFIRM NAME BUSINESS NAME | BAUMANN, KONDAS AND XU, LLC |
| STATE OF HIGHEST COURT | GU |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF GUAM |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 736 ROUTE 4 |
| WORKSITE ADDRESS2 | SUITE 103 |
| LCA CASE WORKLOC1 CITY | SINAJANA |
| WORKSITE COUNTY | SINAJANA |
| LCA CASE WORKLOC1 STATE | GU |
| WORKSITE POSTAL CODE | 96910 |
| LCA CASE WAGE RATE FROM | 33134 |
| LCA CASE WAGE RATE TO | 35000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 33134 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BAUMANN |
| PREPARER FIRST NAME | LADD |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | BAUMANN, KONDAS AND XU, LLC |
| PREPARER EMAIL | LADD.BAUMANN@BAUMANNGUAM.COM |
