| CASE NUMBER | I-200-25049-704237 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/18/2025 |
| DECISION DATE | 2/25/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | IT Data Management - Sr./Specialist |
| SOC CODE | 15-1242.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/19/2025 |
| END DATE | 8/18/2028 |
| 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 | Washington State Department of Social and Health Services |
| TRADE NAME DBA | Department of Social and Health Services |
| EMPLOYER ADDRESS1 | 1115 Washington St. SE |
| EMPLOYER ADDRESS2 | HSB 2nd Floor |
| EMPLOYER CITY | Olympia |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98504 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15095702515 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 923130 |
| EMPLOYER POC LAST NAME | Allan |
| EMPLOYER POC FIRST NAME | Julie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Sr. HR Business Partner/Human Resources Division |
| EMPLOYER POC ADDRESS1 | 1115 Washington St. SE |
| EMPLOYER POC ADDRESS2 | HSB 2nd Floor |
| EMPLOYER POC CITY | Olympia |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98504 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15095702515 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Julie.Allan@dshs.wa.gov |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Chen |
| AGENT ATTORNEY FIRST NAME | Jeng-Ya |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 401 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12066542250 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | chen@ryanlaw.com |
| LAWFIRM NAME BUSINESS NAME | Ryan, Swanson & Cleveland, 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 | Blake Office Park West |
| WORKSITE ADDRESS2 | 4450 10th Avenue SE |
| WORKSITE CITY | Lacey |
| WORKSITE COUNTY | THURSTON |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98503 |
| WAGE RATE OF PAY FROM | $120,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $135,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $120,000.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2025 |
| 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 | 2025-08-19 |
