| LCA CASE NUMBER | I-200-21257-582541 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-14 |
| DECISION DATE | 2021-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Principal Healthcare Data Architect |
| SOC CODE | 15-2041.00 |
| SOC TITLE | Statisticians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-25 |
| END DATE | 2024-10-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Ursa Health, LLC |
| EMPLOYER ADDRESS1 | 102 Woodmont Blvd. |
| EMPLOYER ADDRESS2 | Suite 110 |
| EMPLOYER CITY | Nashville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37205 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18658984407 |
| NAICS CODE | 518210 |
| EMPLOYER POC LAST NAME | Sullivan |
| EMPLOYER POC FIRST NAME | Caroline |
| EMPLOYER POC JOB TITLE | Chief Administrative Officer |
| EMPLOYER POC ADDRESS1 | 102 Woodmont Blvd. |
| EMPLOYER POC ADDRESS2 | Suite 110 |
| EMPLOYER POC CITY | Nashville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37205 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18658984407 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hollis |
| AGENT ATTORNEY FIRST NAME | James |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Road |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | TN |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3549 Parkside Way |
| LCA CASE WORKLOC1 CITY | Brookhaven |
| WORKSITE COUNTY | DEKALB |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30319 |
| LCA CASE WAGE RATE FROM | 165000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 128378 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Porter |
| PREPARER FIRST NAME | Luchi |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | [email protected] |
