| CASE NUMBER | I-200-24291-414356 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/17/2024 |
| DECISION DATE | 10/24/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Lead DevOps Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/4/2025 |
| END DATE | 1/3/2028 |
| 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 | The Center to Promote Healthcare Access, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 360 Grand Ave |
| EMPLOYER ADDRESS2 | STE 190 |
| EMPLOYER CITY | Oakland |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94610 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 1916563400 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 8139 |
| EMPLOYER POC LAST NAME | Gjurgevich |
| EMPLOYER POC FIRST NAME | Jacqueline |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Interim COO |
| EMPLOYER POC ADDRESS1 | 360 Grand Ave |
| EMPLOYER POC ADDRESS2 | STE 190 |
| EMPLOYER POC CITY | Oakland |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94610 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12066120427 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jacqueline@1degree.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Peng |
| AGENT ATTORNEY FIRST NAME | Leo |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1111 3rd Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 3000 |
| 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 | 12064474400 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | immgroup@foster.com |
| LAWFIRM NAME BUSINESS NAME | Foster Garvey PC |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3718 Nuestra Ave |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Sacramento |
| WORKSITE COUNTY | SACRAMENTO |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 95835 |
| WAGE RATE OF PAY FROM | $127,500.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $121,451.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 Employment |
| PREPARER LAST NAME | Borroff |
| PREPARER FIRST NAME | Silviya |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Foster Garvey PC |
| PREPARER EMAIL | immgroup@foster.com |
| BEGIN DATE CONVERTED | 2025-01-04 |
