| LCA CASE NUMBER | I-200-22217-400789 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-05 |
| DECISION DATE | 2022-08-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Board Certified Behavior Analyst |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-01-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Gersh Academy Seattle, LLC |
| EMPLOYER ADDRESS1 | 5410 194th Ave SE |
| EMPLOYER CITY | Issaquah |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14253757665 |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Skutvik |
| EMPLOYER POC FIRST NAME | Kristi |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 5410 194th Ave SE |
| EMPLOYER POC CITY | Issaquah |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14253757665 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Medina |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY ADDRESS1 | 2501 E. Chapman Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 285 |
| AGENT ATTORNEY CITY | Fullerton |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92831 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17147866835 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Charles Medina |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5410 194th Ave SE |
| LCA CASE WORKLOC1 CITY | Issaquah |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98027 |
| LCA CASE WAGE RATE FROM | 80000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 42120 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Medina |
| PREPARER FIRST NAME | Charles |
| PREPARER BUSINESS NAME | Law Office of Charles Medina |
| PREPARER EMAIL | [email protected] |