| LCA CASE NUMBER | I-200-16089-169044 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/30/16 |
| DECISION DATE | 4/5/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/29/16 |
| EMPLOYMENT END DATE | 9/29/19 |
| LCA CASE EMPLOYER NAME | EVERGREEN ADULT DAY CARE IN NY INC. |
| EMPLOYER ADDRESS | 37-10 149TH PLACE, STE 1A |
| EMPLOYER CITY | FLUSHING |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11354 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 7183212112 |
| AGENT ATTORNEY NAME | ROJAS, ALEXANDER |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | SOCIAL SERVICE MANAGER |
| SOC CODE | 11-9151 |
| SOC NAME | SOCIAL AND COMMUNITY SERVICE MANAGERS |
| NAIC CODE | 624120 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 59,654.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 59,654.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | FLUSHING |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11354 |
