| LCA CASE NUMBER | I-200-21064-125108 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-03-05 |
| DECISION DATE | 2021-04-07 |
| ORIGINAL CERT DATE | 2021-03-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Community Connector |
| SOC CODE | 21-1022.00 |
| SOC TITLE | Healthcare Social Workers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-25 |
| END DATE | 2024-07-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ASIAN COUNSELING AND REFERRAL SERVICE |
| EMPLOYER ADDRESS1 | 3639 MARTIN LUTHER KING JR. WAY S. |
| EMPLOYER CITY | SEATTLE |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98144 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | WASHINGTON |
| EMPLOYER PHONE | 12068058902 |
| NAICS CODE | 624190 |
| EMPLOYER POC LAST NAME | Butler |
| EMPLOYER POC FIRST NAME | Anna |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS 1 | 3639 MARTIN LUTHER KING JR. WAY S. |
| EMPLOYER POC CITY | SEATTLE |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98144 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12068058902 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Yamamoto |
| AGENT ATTORNEY FIRST NAME | Kohei |
| AGENT ATTORNEY ADDRESS1 | 1000 2nd Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 1620 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | WA |
| AGENT ATTORNEY PHONE | 12069238631 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
|
| LAWFIRM NAME BUSINESS NAME | Cowan Miller & Lederman |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3639 Martin Luther King Jr. Way S |
| LCA CASE WORKLOC1 CITY | Seattle |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98144 |
| LCA CASE WAGE RATE FROM | 39312 |
| LCA CASE WAGE RATE TO | 54067.06 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 39312 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 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 | Gaston |
| PREPARER FIRST NAME | Kissy |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Cowan Miller & Lederman |
| PREPARER EMAIL | [email protected] |
