| LCA CASE NUMBER | I-200-24103-880999 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2024-04-12 |
| DECISION DATE | 2024-05-13 |
| ORIGINAL CERT DATE | 2024-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Specialized Personal Assistant |
| SOC CODE | 21-1091.00 |
| SOC TITLE | Health Education Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-10-01 |
| END DATE | 2027-10-01 |
| 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 | Change Factors Analysis Inc |
| EMPLOYER ADDRESS1 | 124 N 1st Street |
| EMPLOYER CITY | Arcadia |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91006 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16266989271 |
| NAICS CODE | 624190 |
| EMPLOYER POC LAST NAME | Dostalek |
| EMPLOYER POC FIRST NAME | Christin |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS1 | 124 N 1st Street |
| EMPLOYER POC CITY | Arcadia |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91006 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16266989271 |
| EMPLOYER POC EMAIL | cdostalek@changefactorsanalysis.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GOMEZ |
| AGENT ATTORNEY FIRST NAME | CAROLINA |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 3580 Wilshire Boulevard |
| AGENT ATTORNEY ADDRESS2 | Suite 1420 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13237639877 |
| AGENT ATTORNEY EMAIL ADDRESS | carolina@ccgomezlaw.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF CAROLINA C. GOMEZ |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Superior |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 124 N. 1st Street |
| LCA CASE WORKLOC1 CITY | Arcadia |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91006 |
| LCA CASE WAGE RATE FROM | 21.5 |
| LCA CASE WAGE RATE TO | 29 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 21.09 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Frisbee |
| PREPARER FIRST NAME | Elaine |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | LAW OFFICE OF CAROLINA C GOMEZ |
| PREPARER EMAIL | efrisbeeparalegal@gmail.com |