| CASE NUMBER | I-200-23300-462263 |
| CASE STATUS | Withdrawn |
| RECEIVED DATE | 10/27/2023 |
| DECISION DATE | 10/27/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | GERIATRIC NURSE |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/2/2024 |
| END DATE | 1/1/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Kin On Health Care Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 4416 S. Brandon Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Seattle |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98118 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12067213630 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | CHEN |
| EMPLOYER POC FIRST NAME | Allie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 4416 S. Brandon Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Seattle |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98118 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12067213630 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | achen@kinon.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | LAU |
| AGENT ATTORNEY FIRST NAME | FAYE |
| AGENT ATTORNEY MIDDLE NAME | YEE |
| AGENT ATTORNEY ADDRESS1 | 16400 SOUTHCENTER PARKWAY |
| AGENT ATTORNEY ADDRESS2 | SUITE 402 |
| AGENT ATTORNEY CITY | TUKWILA |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98188 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12062890338 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | FAYE@LAUIMMIGRATION.COM |
| LAWFIRM NAME BUSINESS NAME | LAU IMMIGRATION LAW, PLLC |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4416 S. Brandon Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Seattle |
| WORKSITE COUNTY | KING |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98118 |
| WAGE RATE OF PAY FROM | 92768 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $92,768.00 |
| 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 | 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 | 2024-02-01 |
