\ H1B CASE NUMBER I-200-21250-569461



CASE NUNBER: I-200-21250-569461

LCA CASE NUMBERI-200-21250-569461
STATUSCertified - Withdrawn
LCA CASE SUBMIT2021-09-07
DECISION DATE2022-04-05
ORIGINAL CERT DATE2021-09-14
VISA CLASSH-1B
LCA CASE JOB TITLEWorkday HCM Functional Specialist
SOC CODE15-1133.00
SOC TITLESoftware Developers, Systems Software
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-09-20
END DATE2024-09-19
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMECarbon Health Technologies, Inc.
EMPLOYER ADDRESS1300 California Street
EMPLOYER ADDRESS27th Floor
EMPLOYER CITYSan Francisco
EMPLOYER STATECA
EMPLOYER POSTAL CODE94104
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE14152002099
NAICS CODE621999
EMPLOYER POC LAST NAMESumara
EMPLOYER POC FIRST NAMEGretchen
EMPLOYER POC JOB TITLEProgram Manager, People Operations
EMPLOYER POC ADDRESS1300 California Street
EMPLOYER POC ADDRESS27th Floor
EMPLOYER POC CITYSan Francisco
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE94104
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE14152002099
EMPLOYER POC EMAIL[email protected]
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEVareed
AGENT ATTORNEY FIRST NAMESharlyn
AGENT ATTORNEY ADDRESS1100 Pine Street
AGENT ATTORNEY ADDRESS2Suite 1250
AGENT ATTORNEY CITYSan Francisco
AGENT ATTORNEY STATECA
AGENT ATTORNEY POSTAL CODE94111
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE14154325300
AGENT ATTORNEY EMAIL ADDRESS[email protected]
LAWFIRM NAME BUSINESS NAMEMCCOWN & EVANS LLP
STATE OF HIGHEST COURTCA
NAME OF HIGHEST STATE COURTSupreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS18527 South Eversham Ct.
LCA CASE WORKLOC1 CITYRichmond
WORKSITE COUNTYHENRICO
LCA CASE WORKLOC1 STATEVA
WORKSITE POSTAL CODE23294
LCA CASE WAGE RATE FROM121763
LCA CASE WAGE RATE TO144726
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE89669
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2021 - 6/30/2022
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business