| LCA CASE NUMBER | I-200-20338-935897 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-02 |
| DECISION DATE | 2020-12-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Quality Assurance Analyst |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-28 |
| END DATE | 2024-05-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Partnership HealthPlan of California |
| EMPLOYER ADDRESS1 | 4665 Business Center Drive |
| EMPLOYER CITY | Fairfield |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94534 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17078634100 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Mangabay |
| EMPLOYER POC FIRST NAME | Tammy |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | 4665 Business Center Drive |
| EMPLOYER POC CITY | Fairfield |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94534 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17078634244 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wu |
| AGENT ATTORNEY FIRST NAME | Clifton |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 3590 North First Street |
| AGENT ATTORNEY ADDRESS2 | Suite 310 |
| AGENT ATTORNEY CITY | San Jose |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95134 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14084329200 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Immigration Law Group LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4605 Business Center Drive |
| LCA CASE WORKLOC1 CITY | Fairfield |
| WORKSITE COUNTY | SOLANO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94534 |
| LCA CASE WAGE RATE FROM | 99590 |
| LCA CASE WAGE RATE TO | 125861 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 99590 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Jang |
| PREPARER FIRST NAME | Olivia |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Immigration Law Group LLP |
| PREPARER EMAIL | [email protected] |
