| CASE NUMBER | I-200-23319-504338 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/15/2023 |
| DECISION DATE | 11/22/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Strategic Initiatives Manager |
| SOC CODE | 15-1299.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 5/3/2024 |
| END DATE | 5/2/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | COLLECTIVEHEALTH ADMINISTRATORS, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 45 Fremont Street |
| EMPLOYER ADDRESS2 | Suite 1200 |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18442653288 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 52429 |
| EMPLOYER POC LAST NAME | Martinez |
| EMPLOYER POC FIRST NAME | Diana |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | People Ops Coordinator |
| EMPLOYER POC ADDRESS1 | 45 Fremont Street |
| EMPLOYER POC ADDRESS2 | Suite 1200 |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18442653288 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | diana.martinez@collectivehealth.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | NAGAHORI |
| AGENT ATTORNEY FIRST NAME | RANDI |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 235 MONTGOMERY STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 730 |
| AGENT ATTORNEY CITY | SAN FRANCISCO |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14158053900 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | LCA@GOLAWCORP.COM |
| LAWFIRM NAME BUSINESS NAME | GOESCHL LAW CORPORATION |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 120 Burgess Cv. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Austin |
| WORKSITE COUNTY | TRAVIS |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 78738 |
| WAGE RATE OF PAY FROM | 126072 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $115,648.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-03-05 |
