| CASE NUMBER | I-200-24012-639327 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/12/2024 |
| DECISION DATE | 1/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physical Therapist |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 6/13/2024 |
| END DATE | 6/12/2027 |
| 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 | On Lok, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1333 Bush Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94109 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14085354655 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621999 |
| EMPLOYER POC LAST NAME | Altomare |
| EMPLOYER POC FIRST NAME | Denise |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director Talent Management |
| EMPLOYER POC ADDRESS1 | 1333 Bush Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94109 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14085354655 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | daltomare@onlok.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Drummond |
| AGENT ATTORNEY FIRST NAME | Ilana |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 909 Montgomery St |
| AGENT ATTORNEY ADDRESS2 | 200 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14159864559 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | idrummond@jackson-hertogs.com |
| LAWFIRM NAME BUSINESS NAME | Jackson & Hertogs LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3683 Peralta Blvd |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Fremont |
| WORKSITE COUNTY | ALAMEDA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94536 |
| WAGE RATE OF PAY FROM | 111384 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $148,512.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $108,701.00 |
| 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 | Atwal 87487 |
| PREPARER FIRST NAME | Sharon |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Jackson & Hertogs LLP |
| PREPARER EMAIL | satwal@jackson-hertogs.com |
| BEGIN DATE CONVERTED | 2025-01-06 |
