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Case Number

I-200-16134-402012

Case Status

Certified

A. Employment-Based Nonimmigrant Visa Information

1. Indicate the type of visa classification supported by this application
    (Write classification symbol):

H-1B

B. Temporary Need Information

1. Job Title

Associate Staff Scientist

2. SOC (ONET/OES) code

19-2099

3. SOC (ONET/OES) occupation title

Physical Scientists, All Other

4. Is this a full-time position?

Yes

Period of Intended Employment

 

5. Begin Date (mm/dd/yyyy)

7/16/2016 12:00:00 AM

6. End Date (mm/dd/yyyy)

7/15/2019 12:00:00 AM

7. Worker positions needed/basis for the visa classification supported by this application

 

Total Worker Positions Being Requested for Certification

1

C. Employer Information

1. Legal business name

Stanford University/slac National Accelerator Laboratory

2. Trade name/Doing Business As (DBA),
    if applicable

Slac National Accelerator Laboratory

3. Address 1

2575 Sand Hill Road

4. Address 2

5. City

Menlo Park

6. State

CA

7. Postal code

94025

8. Country

 

9. Province

 

10. Telephone number

650-926-4123

11. Extension

 

12. Federal Employer Identification Number (FEIN from IRS)

redacted field

13. NAICS code (must be at least 4-digits)

611310

D. Employer Point of Contact Information

Important Note: The information contained in this Section must be that of an employee of the employer who is authorized to act on behalf of the employer in labor certification matters. The information in this Section must be different from the agent or attorney information listed in Section E, unless the attorney is an employee of the employer.

1. Contact's last (family) name

Lindemans

2. First (given) name

Annelies

3. Middle name(s)

4. Contact's job title

International Services Lead

5. Address 1

2575 Sand Hill Road - Ms 76

6. Address 2

7. City

Menlo Park

8. State

CA

9. Postal code

94025

10. Country

 

11. Province

 

12. Telephone number

650-926-4123

13. Extension

 

14. E-Mail address

Annelies@slac.stanford.edu

E. Attorney or Agent Information (If applicable)

1. Is the employer represented by an attorney or agent in the filing of this application? If "Yes", complete the remainder of Section E below.

2. Attorney or Agent's last (family) name

Sands

3. First (given) name

Serafina

4. Middle name(s)

Ruth

5. Address 1

1322 Burbank Street Suite 100

6. Address 2

7. City

Alameda

8. State

CA

9. Postal code

94501-3946

10. Country

11. Province

12. Telephone number

5105221846

13. Extension

14. E-Mail address

Sands@serafinalaw.com

15. Law firm/Business name

Law Office Of Serafina Sands

16. Law firm/Business FEIN

redacted field

17. State Bar number (only if attorney)

148163

18. State of highest court where attorney is in good standing (only if attorney)

California

19. Name of the highest court where attorney is in good standing (only if attorney)

Supreme Court

F. Rate of Pay

1. Wage Rate (Required)

From:   $ 94,000.00 To:   $ 120,000.00

2. Per: (Choose only one)
Year

G. Employment and Prevailing Wage Information

a. Place of Employment 1

1. Address 1

Slac National Acclerator Laboratory 2575 Sand Hill Road

2. Address 2

3. City

Menlo Park

4. County

San Mateo

5. State/District/Territory

California

6. Postal code

94025

Prevailing Wage Information (corresponding to the place of employment location listed above)

7. Agency which issued prevailing wage

7a. Prevailing wage tracking number (if applicable)

8. Wage level
II
9. Prevailing wage

$ 67,995.00

10. Per: (Choose only one)
11. Prevailing wage source
      (Choose only one)
OES
11a. Year source published

2015

11b. If "OES", and SWA/NPC did not issue prevailing wage OR "Other" in question 11, specify source

 

H. Employer Labor Condition Statements

I. Additional Employer Labor Condition Statements - H-1B Employers ONLY

a. Subsection 1

1. Is the employer H-1B dependent?
No
2. Is the employer a willful violator?
No
3. If "Yes" is marked in questions I.1 and/or I.2, you must answer "Yes" or "No" regarding whether the employer will use this application ONLY to support H-1B petitions or extensions of status for exempt H-1B nonimmigrants?

  • not checkedYes
  • not checkedNo
  • checkedN/A

If you marked "Yes" to questions I.1 and/or I.2 and "No" to question I.3, you MUST read Section I - Subsection 2 of the Labor Condition Application - General Instructions Form ETA 9035CP under the heading "Additional Employer Labor Condition Statements" and indicate your agreement to all three (3) additional statements summarized below.

b. Subsection 2

  • Displacement: Non-displacement of the U.S. workers in the employer's workforce
  • Secondary Displacement: Non-displacement of U.S. workers in another employer's workforce; and
  • Recruitment and Hiring: Recruitment of U.S. workers and hiring of U.S. workers applicant(s) who are equally or better qualified than the H-1B nonimmigrant(s).
4. I have read and agree to Additional Employer Labor Condition Statements A, B, and C above and as fully explained in Section I - Subsections 1 and 2 of the Labor Condition Application - General Instructions Form ETA 9035CP.

  • not checkedYes
  • not checkedNo

J. Public Disclosure Information

K. Declaration of Employer

1. Last (family) name of hiring
    or designated official

Lindemans

2. First (given) name of hiring
    or designated official

Annelies

3. Middle initial

 

4. Hiring or designated official title

International Services Lead

5. Signature

6. Date signed

 

L. LCA Preparer

1. Last (family) name

Sands

2. First (given) name

Serafina

3. Middle initial

 

4. Firm/Business name

Law Office Of Serafina Sands

5. E-Mail address

Sands@serafinalaw.com

M. U.S. Government Agency Use (ONLY)

By virtue of the signature below, the Department of Labor hereby acknowledges the following:

This certification is valid

From 7/16/2016 12:00:00 AM To 7/15/2019 12:00:00 AM

Department of Labor, Office of Foreign Labor Certification

Determination Date (date signed)

5/13/2016 12:00:00 AM

Case Number

I-200-16134-402012

Case Status

Certified


The Department of Labor is not the guarantor of the accuracy, truthfulness, or adequacy of a certified LCA.


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