| LCA CASE NUMBER | I-200-22118-115999 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-28 |
| DECISION DATE | 2022-05-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Information Systems Manager |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-05-01 |
| END DATE | 2025-04-30 |
| 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 | Hill Country Community Clinic |
| TRADE NAME DBA | Hill Country Health and Wellness Center |
| EMPLOYER ADDRESS1 | 29632 Highway 299E |
| EMPLOYER CITY | Round Mountain |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 96084 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15303197108 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Tucker |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS1 | 29632 Highway 299E |
| EMPLOYER POC CITY | Round Mountain |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 96084 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15303197108 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chary |
| AGENT ATTORNEY FIRST NAME | Siddharth |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 175 Kent Ave. |
| AGENT ATTORNEY ADDRESS2 | 416 |
| AGENT ATTORNEY CITY | Brooklyn |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11249 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12129608365 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Chary Law P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 29632 Highway 299 E. |
| LCA CASE WORKLOC1 CITY | Round Mountain |
| WORKSITE COUNTY | SHASTA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 96084 |
| LCA CASE WAGE RATE FROM | 95000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 79102 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 Employment |
