| LCA CASE NUMBER | I-200-17241-673957 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/29/2017 |
| DECISION DATE | 9/5/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/12/2017 |
| EMPLOYMENT END DATE | 9/11/2020 |
| LCA CASE EMPLOYER NAME | EVERGREEN ADULT DAY CARE IN NY, INC. |
| EMPLOYER ADDRESS | 37-10 149TH PLACE |
| EMPLOYER CITY | FLUSHING |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11354 |
| AGENT ATTORNEY NAME | , |
| LCA CASE JOB TITLE | REHABILITATION COUNSELOR |
| SOC CODE | 21-1015 |
| SOC NAME | REHABILITATION COUNSELORS |
| NAICS CODE | 621498 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 12.87 |
| PW UNIT OF PAY | Hour |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 14.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | FLUSHING |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11358 |
