| CASE NUMBER | I-200-24298-428931 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/24/2024 |
| DECISION DATE | 10/31/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | BEHAVIORAL HEALTH SPECIALIST II |
| SOC CODE | 21-1023.00 |
| SOC TITLE | Mental Health and Substance Abuse Social Workers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/9/2025 |
| END DATE | 1/8/2028 |
| 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 | INTERNATIONAL COMMUNITY HEALTH SERVICES |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 720 8th Ave. S. |
| EMPLOYER ADDRESS2 | SUITE 200 |
| EMPLOYER CITY | SEATTLE |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12068807002 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Batingan |
| EMPLOYER POC FIRST NAME | Dante |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Vice President of Administrative Services |
| EMPLOYER POC ADDRESS1 | 720 8th Avenue S. |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Seattle |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12067883655 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | danteb@ichs.com |
| 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 | 720 8th Ave. S |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Seattle |
| WORKSITE COUNTY | KING |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98104 |
| WAGE RATE OF PAY FROM | $35.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $51.24 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $34.08 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-09 |
