\ H1B CASE NUMBER I-200-25098-841904



CASE NUNBER: I-200-25098-841904

LCA CASE NUMBERI-200-25098-841904
STATUSCertified - Withdrawn
LCA CASE SUBMIT2025-04-08
DECISION DATE2025-09-12
ORIGINAL CERT DATE2025-04-15
VISA CLASSH-1B
LCA CASE JOB TITLEPrincipal Scientist & Associate Director
SOC CODE19-2032.00
SOC TITLEMaterials Scientists
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-10-01
END DATE2028-09-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT1
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEProvivi, Inc.
EMPLOYER ADDRESS11701 Colorado Ave.
EMPLOYER CITYSanta Monica
EMPLOYER STATECA
EMPLOYER POSTAL CODE90404
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE13108282307
EMPLOYER FEIN45-4628757
NAICS CODE3253
EMPLOYER POC LAST NAMEHuck
EMPLOYER POC FIRST NAMECorey
EMPLOYER POC JOB TITLEChief Executive Officer
EMPLOYER POC ADDRESS11701 Colorado Ave.
EMPLOYER POC CITYSanta Monica
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE90404
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE13367096767
EMPLOYER POC EMAILhuck@provivi.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEGrzegorek
AGENT ATTORNEY FIRST NAMEKathleen
AGENT ATTORNEY MIDDLE NAMELynn
AGENT ATTORNEY ADDRESS1707 Wilshire Boulevard
AGENT ATTORNEY ADDRESS2Suite 3200
AGENT ATTORNEY CITYLos Angeles
AGENT ATTORNEY STATECA
AGENT ATTORNEY POSTAL CODE90017
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE12136278997
AGENT ATTORNEY PHONE EXT185
AGENT ATTORNEY EMAIL ADDRESSkathy@sggimmigration.com
LAWFIRM NAME BUSINESS NAMESGG Immigration LLP
LAWFIRM BUSINESS FEIN20-3501531
STATE OF HIGHEST COURTCA
NAME OF HIGHEST STATE COURTSupreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11701 Colorado Ave.
LCA CASE WORKLOC1 CITYSanta Monica
WORKSITE COUNTYLOS ANGELES
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE90404
LCA CASE WAGE RATE FROM130000
LCA CASE WAGE RATE TO132000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE129563
PW UNIT OF PAYYear
PW WAGE LEVELIII
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEGrzegorek
PREPARER FIRST NAMEKathleen
PREPARER MIDDLE INITIALL
PREPARER BUSINESS NAMESGG Immigration LLP
PREPARER EMAILKathy@sggimmigration.com