| LCA CASE NUMBER | I-200-22078-993005 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-03-18 |
| DECISION DATE | 2022-10-21 |
| ORIGINAL CERT DATE | 2022-03-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Product Manager |
| SOC CODE | 15-1121.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-04 |
| END DATE | 2025-04-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Village Practice Management Company, LLC |
| TRADE NAME DBA | VillageMD |
| EMPLOYER ADDRESS1 | 125 S Clark St |
| EMPLOYER ADDRESS2 | Ste 900 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60603 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13124657900 |
| NAICS CODE | 541618 |
| EMPLOYER POC LAST NAME | Jensen |
| EMPLOYER POC FIRST NAME | Sara |
| EMPLOYER POC JOB TITLE | Director, Talent Operations |
| EMPLOYER POC ADDRESS1 | 125 S Clark St |
| EMPLOYER POC ADDRESS2 | Ste 900 |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60603 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19527972947 |
| EMPLOYER POC EMAIL | sjensen@villagemd.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gurley |
| AGENT ATTORNEY FIRST NAME | Marit |
| AGENT ATTORNEY MIDDLE NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | 2950 Metro Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | Bloomington |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55425 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19528543313 |
| AGENT ATTORNEY PHONE EXT | 537 |
| AGENT ATTORNEY EMAIL ADDRESS | marit@karamlaw.com |
| LAWFIRM NAME BUSINESS NAME | Karam Law |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | MINNESOTA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 390 2nd St. |
| WORKSITE ADDRESS2 | Apt. 23 |
| LCA CASE WORKLOC1 CITY | Brooklyn |
| WORKSITE COUNTY | KINGS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11215 |
| LCA CASE WAGE RATE FROM | 135000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 114483 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
