| CASE NUMBER | I-200-23200-200544 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/19/2023 |
| DECISION DATE | 7/26/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Psychotherapist |
| SOC CODE | 21-1023.00 |
| SOC TITLE | Mental Health and Substance Abuse Social Workers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2024 |
| END DATE | 12/31/2026 |
| 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 | Los Gatos Therapy Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2542 S Bascom Ave, Ste 110 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Campbell |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95008 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14085593403 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Tilman |
| EMPLOYER POC FIRST NAME | Eugene |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Executive Director, Business Development & Operations |
| EMPLOYER POC ADDRESS1 | 2542 S Bascom Ave, Ste 110 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Campbell |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95008 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14085593403 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ug@lgtc.net |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Gan |
| AGENT ATTORNEY FIRST NAME | Ning |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1625 The Alameda, Ste 800 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | San Jose |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95126 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +14082796699 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | info@ganning.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Ning Gan |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2542 S. Bascom Ave, Ste 110 |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Campbell |
| WORKSITE COUNTY | SANTA CLARA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 95008 |
| WAGE RATE OF PAY FROM | 90000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $100,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $74,734.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | Gan |
| PREPARER FIRST NAME | Ning |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Law Office of Ning Gan |
| PREPARER EMAIL | info@ganning.com |
| BEGIN DATE CONVERTED | 2024-01-01 |
