| LCA CASE NUMBER | I-200-20363-981503 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-28 |
| DECISION DATE | 2021-01-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | JAVA WEB APPLICATION DEVELOPMENT LEAD |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-15 |
| END DATE | 2024-06-14 |
| 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 | STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES |
| EMPLOYER ADDRESS1 | 4450 10TH AVENUE SE |
| EMPLOYER CITY | LACEY |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98504 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13607252440 |
| NAICS CODE | 923130 |
| EMPLOYER POC LAST NAME | PALMA |
| EMPLOYER POC FIRST NAME | SERGIO |
| EMPLOYER POC JOB TITLE | IT DIRECTOR, MSD |
| EMPLOYER POC ADDRESS 1 | 4450 10TH AVENUE SE |
| EMPLOYER POC CITY | LACEY |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98504 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13607252440 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | TILGER |
| AGENT ATTORNEY FIRST NAME | AMEE |
| AGENT ATTORNEY ADDRESS1 | 7141 CLEANWATER DRIVE SW |
| AGENT ATTORNEY CITY | OLYMPIA |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98504 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13606644167 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | STATE OF WASHINGTON OFFICE OF THE ATTORNEY GENERAL |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4450 10TH AVENUE SE |
| LCA CASE WORKLOC1 CITY | LACEY |
| WORKSITE COUNTY | THURSTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98504 |
| LCA CASE WAGE RATE FROM | 117785 |
| LCA CASE WAGE RATE TO | 127785 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117785 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2019 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | KESSLER |
| PREPARER FIRST NAME | PAUL |
| PREPARER MIDDLE INITIAL | F |
| PREPARER BUSINESS NAME | STATE OF WASHINGTON OFFICE OF THE ATTORNEY GENERAL |
| PREPARER EMAIL | [email protected] |
