| LCA CASE NUMBER | I-200-19296-104524 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-23 |
| DECISION DATE | 2019-10-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Citrix Engineer |
| SOC CODE | 15-1142.00 |
| SOC TITLE | Network and Computer Systems Administrators |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-18 |
| END DATE | 2022-11-17 |
| 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 | Lucile Salter Packard Children's Hospital at Stanford |
| TRADE NAME DBA | LPCH/Stanford Children's Health |
| EMPLOYER ADDRESS1 | 725 Welch Road |
| EMPLOYER CITY | Palo Alto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16507252768 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Vyas |
| EMPLOYER POC FIRST NAME | Ekta |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 4300 Bohannon Drive |
| EMPLOYER POC ADDRESS2 | Suite 250 |
| EMPLOYER POC CITY | Menlo Park |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94025 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16507252768 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Sands |
| AGENT ATTORNEY FIRST NAME | Serafina |
| AGENT ATTORNEY MIDDLE NAME | Ruth |
| AGENT ATTORNEY ADDRESS1 | 285 Beach Pines Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Aptos |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95003 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18316877005.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Serafina Sands |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | LPCH Admin |
| WORKSITE ADDRESS2 | 4300 Bohannon Drive |
| LCA CASE WORKLOC1 CITY | Menlo Park |
| WORKSITE COUNTY | SAN MATEO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94025 |
| LCA CASE WAGE RATE FROM | 130811.2 |
| LCA CASE WAGE RATE TO | 211244.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117603.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sands |
| PREPARER FIRST NAME | Serafina |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Law Office of Serafina Sands |
| PREPARER EMAIL | [email protected] |
