| LCA CASE NUMBER | I-200-22087-016136 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-28 |
| DECISION DATE | 2022-04-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Staff Perfusionist |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-27 |
| END DATE | 2025-09-26 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pacific Life Lines, Inc. |
| EMPLOYER ADDRESS1 | 3481 La Mesa Drive |
| EMPLOYER CITY | San Carlos |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94070 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16503219999 |
| NAICS CODE | 621399 |
| EMPLOYER POC LAST NAME | Shuttleworth |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 3481 La Mesa Drive |
| EMPLOYER POC CITY | San Carlos |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94070 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16503219999 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | McCown |
| AGENT ATTORNEY FIRST NAME | Kelly |
| AGENT ATTORNEY ADDRESS1 | 100 Pine Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1250 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14154325300 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | MCCOWN & EVANS LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Dignity Community Care DBA Sequoia Hospital |
| WORKSITE ADDRESS1 | 170 Alameda de las Pulgas |
| LCA CASE WORKLOC1 CITY | Redwood City |
| WORKSITE COUNTY | SAN MATEO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94062 |
| LCA CASE WAGE RATE FROM | 96616 |
| LCA CASE WAGE RATE TO | 190000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 96616 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
