| CASE NUMBER | I-200-24348-542503 |
| CASE STATUS | Withdrawn |
| RECEIVED DATE | 12/13/2024 |
| DECISION DATE | 12/19/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Child Development Teacher |
| SOC CODE | 25-1081.00 |
| SOC TITLE | Education Teachers, Postsecondary |
| FULL TIME POSITION | N |
| BEGIN DATE | 1/2/2025 |
| END DATE | 1/1/2028 |
| 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 | Providence Health & Services - Washington |
| TRADE NAME DBA | Providence Mount St. Vincent |
| EMPLOYER ADDRESS1 | 1801 Lind Ave SW Morin Bldg. |
| EMPLOYER ADDRESS2 | 1st Floor |
| EMPLOYER CITY | Renton |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98057 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14256156359 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Jeanes |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC MIDDLE NAME | Salazar |
| EMPLOYER POC JOB TITLE | In-House Immigration Counsel |
| EMPLOYER POC ADDRESS1 | 1801 Lind Ave SW Morin Bldg. |
| EMPLOYER POC ADDRESS2 | 1st Floor |
| EMPLOYER POC CITY | Renton |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98057 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14256156359 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | maria.jeanes@providence.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Reyes |
| AGENT ATTORNEY FIRST NAME | Adriana |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2801 Via Fortuna |
| AGENT ATTORNEY ADDRESS2 | Ste 650 |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78746 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15124826830 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | teresa.sims@klgates.com |
| LAWFIRM NAME BUSINESS NAME | K&L Gates LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4831 35th Avenue SW |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Seattle |
| WORKSITE COUNTY | KING |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98126 |
| WAGE RATE OF PAY FROM | $20.38 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $25.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $20.38 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | Sims |
| PREPARER FIRST NAME | Teresa |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | K&L Gates LLP |
| PREPARER EMAIL | teresa.sims@klgates.com |
| BEGIN DATE CONVERTED | 2025-01-02 |
