| LCA CASE NUMBER | I-200-24262-347171 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-09-18 |
| DECISION DATE | 2024-09-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior ETL Developer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-09-20 |
| END DATE | 2027-09-19 |
| 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 | Community Health Plan of Washington |
| EMPLOYER ADDRESS1 | 1111 Third Avenue |
| EMPLOYER ADDRESS2 | Suite 400 |
| EMPLOYER CITY | Seattle |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12066138910 |
| EMPLOYER FEIN | 91-1729710 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Kimberly |
| EMPLOYER POC JOB TITLE | Manager, Talent Acquisition and HR Programs |
| EMPLOYER POC ADDRESS1 | 1111 Third Ave |
| EMPLOYER POC ADDRESS2 | Suite 400 |
| EMPLOYER POC CITY | Seattle |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12066138910 |
| EMPLOYER POC EMAIL | kim.smith@chpw.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Poh |
| AGENT ATTORNEY FIRST NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | 1000 2nd Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 1620 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12068666105 |
| AGENT ATTORNEY EMAIL ADDRESS | epoh@cmlseattle.com |
| LAWFIRM NAME BUSINESS NAME | Cowan Miller & Lederman |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2605 Gateview Ct |
| LCA CASE WORKLOC1 CITY | Cumming |
| WORKSITE COUNTY | FORSYTH |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30040 |
| LCA CASE WAGE RATE FROM | 105227 |
| LCA CASE WAGE RATE TO | 162400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 105227 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Matsumoto |
| PREPARER FIRST NAME | Hisako |
| PREPARER BUSINESS NAME | Cowan Miller & Lederman |
| PREPARER EMAIL | hmatsumoto@cmlseattle.com |