| LCA CASE NUMBER | I-200-17079-702309 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/21/2017 |
| DECISION DATE | 3/27/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/14/2017 |
| EMPLOYMENT END DATE | 9/13/2020 |
| LCA CASE EMPLOYER NAME | CENTERS PLAN FOR HEALTHY LIVING, LLC |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 75 VANDERBILT AVENUE |
| EMPLOYER CITY | STATEN ISLAND |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 7182157000 |
| EMPLOYER PHONE EXT | 3136 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | LIN, TAO |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | SOCIAL WORKER |
| SOC CODE | 21-1022 |
| SOC NAME | HEALTHCARE SOCIAL WORKERS |
| NAICS CODE | 62412 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 43,451.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 58,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | STATEN ISLAND |
| WORKSITE COUNTY | RICHMOND |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10304 |
