| CASE NUMBER | I-200-24234-282701 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/21/2024 |
| DECISION DATE | 8/28/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Mental Health Therapist III |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| 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 | Sea Mar Community Health Centers |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1040 S. Henderson St. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Seattle |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98108 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12067635277 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | LEONG |
| EMPLOYER POC FIRST NAME | MICHAEL |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Vice President, Corporate & Legal Affairs |
| EMPLOYER POC ADDRESS1 | 1040 S. Henderson St. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Seattle |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12067635277 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mikeleong@seamarchc.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | WHITE |
| AGENT ATTORNEY FIRST NAME | DANIEL |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 8341 SW Beaverton Hillsdale Hwy |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97225 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12063230384 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | dan@lawfirmws.com |
| LAWFIRM NAME BUSINESS NAME | White & Shepherd, LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 113 23rd Ave S |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Seattle |
| WORKSITE COUNTY | KING |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98144 |
| WAGE RATE OF PAY FROM | 32.26 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $32.26 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2023 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-10 |
