\ H1B CASE NUMBER I-200-20170-663589



CASE NUNBER: I-200-20170-663589

LCA CASE NUMBERI-200-20170-663589
STATUSCertified - Withdrawn
LCA CASE SUBMIT2020-06-18
DECISION DATE2020-07-09
ORIGINAL CERT DATE2020-06-25
VISA CLASSH-1B
LCA CASE JOB TITLEClaims Data Reporting Manager
SOC CODE11-3021.00
SOC TITLEComputer and Information Systems Managers
FULL TIME POSITIONY
LCA CASE EMPLOYMENT START DATE2020-06-22
END DATE2023-06-21
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMECareSource Management Services LLC
EMPLOYER ADDRESS1230 North Main Street
EMPLOYER CITYDayton
EMPLOYER STATEOH
EMPLOYER POSTAL CODE45402
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE19375312266
NAICS CODE923120
EMPLOYER POC LAST NAMESturgis
EMPLOYER POC FIRST NAMEKatie
EMPLOYER POC JOB TITLEDirector, Talent Acquisition
EMPLOYER POC ADDRESS1230 N. Main Street
EMPLOYER POC CITYDayton
EMPLOYER POC STATEOH
EMPLOYER POC POSTAL CODE45402
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE19375312266
EMPLOYER POC EMAIL[email protected]
AGENT REPRESENTING EMPLOYERY
AGENT ATTORNEY LAST NAMEAjmera
AGENT ATTORNEY FIRST NAMESujata
AGENT ATTORNEY MIDDLE NAMEP.
AGENT ATTORNEY ADDRESS1720 Brazos Street
AGENT ATTORNEY ADDRESS2Suite 700
AGENT ATTORNEY CITYAustin
AGENT ATTORNEY STATETX
AGENT ATTORNEY POSTAL CODE78701
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE15124993605.0
AGENT ATTORNEY EMAIL ADDRESS[email protected]
LAWFIRM NAME BUSINESS NAMEClark Hill PLC
STATE OF HIGHEST COURTTX
NAME OF HIGHEST STATE COURTTexas Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYN
WORKSITE ADDRESS112570 Silverdale Street
LCA CASE WORKLOC1 CITYTampa
WORKSITE COUNTYHILLSBOROUGH
LCA CASE WORKLOC1 STATEFL
WORKSITE POSTAL CODE33626
LCA CASE WAGE RATE FROM112965.0
LCA CASE WAGE RATE TO151700.0
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE112965.0
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2019 - 6/30/2020
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTY
H-1B DEPENDENTN
WILLFUL VIOLATORN
PUBLIC DISCLOSUREDisclose Employment
PREPARER LAST NAMERubio
PREPARER FIRST NAMEJosie
PREPARER BUSINESS NAMEClark Hill
PREPARER EMAIL[email protected]