\ H1B CASE NUMBER I-200-25169-109576



CASE NUNBER: I-200-25169-109576

LCA CASE NUMBERI-200-25169-109576
STATUSCertified
LCA CASE SUBMIT2025-06-18
DECISION DATE2025-06-26
VISA CLASSH-1B
LCA CASE JOB TITLECHAPLAIN
SOC CODE21-2011
SOC TITLEClergy
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-08-20
END DATE2028-08-19
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEBAYCARE HEALTH SYSTEM, INC.
EMPLOYER ADDRESS12995 DREW ST.
EMPLOYER CITYCLEARWATER
EMPLOYER STATEFL
EMPLOYER POSTAL CODE33759
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE17277813145
EMPLOYER FEIN59-2796965
NAICS CODE6221
EMPLOYER POC LAST NAMEROGERS
EMPLOYER POC FIRST NAMEHELEN
EMPLOYER POC JOB TITLEMANAGER, TEAM RESOURCES
EMPLOYER POC ADDRESS12995 DREW ST.
EMPLOYER POC CITYCLEARWATER
EMPLOYER POC STATEFL
EMPLOYER POC POSTAL CODE33759
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE17278251176
EMPLOYER POC EMAILHELEN.ROGERS@BAYCARE.ORG
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMESAMARATUNGA
AGENT ATTORNEY FIRST NAMEPIYUMI
AGENT ATTORNEY MIDDLE NAMEM.
AGENT ATTORNEY ADDRESS1225 SOUTH 6TH ST.
AGENT ATTORNEY ADDRESS2STE. 1830
AGENT ATTORNEY CITYMINNEAPOLIS
AGENT ATTORNEY STATEMN
AGENT ATTORNEY POSTAL CODE55402
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE16123516804
AGENT ATTORNEY EMAIL ADDRESSABRANNON@CONSTANGY.COM
LAWFIRM NAME BUSINESS NAMECONSTANGY, BROOKS, SMITH & PROPHETE, LLP
STATE OF HIGHEST COURTMN
NAME OF HIGHEST STATE COURTSUPREME COURT
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11200 7TH AVE. N
LCA CASE WORKLOC1 CITYST. PETERSBURG
WORKSITE COUNTYPINELLAS
LCA CASE WORKLOC1 STATEFL
WORKSITE POSTAL CODE33705
LCA CASE WAGE RATE FROM70970
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE67787
PW UNIT OF PAYYear
PW WAGE LEVELIV
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEBRANNON
PREPARER FIRST NAMEAIMEE
PREPARER MIDDLE INITIALD
PREPARER BUSINESS NAMECONSTANGY BROOKS SMITH & PROPHETE LLP
PREPARER EMAILABRANNON@CONSTANGY.COM