| LCA CASE NUMBER | I-200-21354-775795 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-20 |
| DECISION DATE | 2021-12-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Engineering Manager |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-01 |
| END DATE | 2024-12-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | SimpleHealth, Inc. |
| EMPLOYER ADDRESS1 | 228 Park Ave S |
| EMPLOYER ADDRESS2 | #20627 |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10003 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16466520417 |
| NAICS CODE | 446130 |
| EMPLOYER POC LAST NAME | Bednarski |
| EMPLOYER POC FIRST NAME | Darby |
| EMPLOYER POC JOB TITLE | People Operations Manager |
| EMPLOYER POC ADDRESS1 | 228 Park Ave S |
| EMPLOYER POC ADDRESS2 | #20627 |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10003 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17609947797 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kutidze |
| AGENT ATTORNEY FIRST NAME | Givi |
| AGENT ATTORNEY ADDRESS1 | 7 West Sqaure Lake Road |
| AGENT ATTORNEY CITY | Bloomfield Hills |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48302 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12484541057 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Givi Kutidze |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Givi Kutidze |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1727 Ironwood Ln |
| LCA CASE WORKLOC1 CITY | Milpitas |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95035 |
| LCA CASE WAGE RATE FROM | 210000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 193731 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kutidze |
| PREPARER FIRST NAME | Givi |
| PREPARER BUSINESS NAME | Law Office of Givi Kutidze |
| PREPARER EMAIL | [email protected] |
