| CASE NUMBER | I-200-24177-146188 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/25/2024 |
| DECISION DATE | 7/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Licensed Relational Therapist |
| SOC CODE | 21-1013.00 |
| SOC TITLE | Marriage and Family Therapists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/24/2024 |
| END DATE | 7/23/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Spark Relational Counseling, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 167 NE 79TH AVE |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | BEAVERTON |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97006 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18038508484 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6241 |
| EMPLOYER POC LAST NAME | HAN |
| EMPLOYER POC FIRST NAME | Yiding |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Member/Licensed Marriage and Family Therapist |
| EMPLOYER POC ADDRESS1 | 4804 NW Bethany Blvd |
| EMPLOYER POC ADDRESS2 | Ste I-2 #424 |
| EMPLOYER POC CITY | Portland |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97229 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +18038508484 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | may@spark-counseling.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Ri |
| AGENT ATTORNEY FIRST NAME | Young Ah |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 53 W Jackson Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 1142 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +13125800623 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | young@yrilaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Young Ah Ri, PC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 702 Spring St |
| WORKSITE ADDRESS2 | W1313 |
| WORKSITE CITY | Seattle |
| WORKSITE COUNTY | KING |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98104 |
| WAGE RATE OF PAY FROM | 42,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $41,267.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | 2025-12-07 |
