| LCA CASE NUMBER | I-200-16075-184031 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/15/16 |
| DECISION DATE | 3/21/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/14/16 |
| EMPLOYMENT END DATE | 9/14/19 |
| LCA CASE EMPLOYER NAME | EVERGREEN MEDICAL CLINIC, PC |
| EMPLOYER ADDRESS | 217 GRAND STREET |
| EMPLOYER CITY | NEW YORK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10013 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2129668216 |
| AGENT ATTORNEY NAME | LIN, TAO |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | REHABILITATION COUNSELOR |
| SOC CODE | 21-1015 |
| SOC NAME | REHABILITATION COUNSELORS |
| NAIC CODE | 621111 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 25,646.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 80,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | NEW YORK |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10013 |
