\ H1B CASE NUMBER I-200-19050-909912



CASE NUNBER: I-200-19050-909912

LCA CASE NUMBERI-200-19050-909912
STATUSCERTIFIED
LCA CASE SUBMIT2019-03-12
DECISION DATE2019-03-18
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE2019-09-11
EMPLOYMENT END DATE2022-09-10
LCA CASE EMPLOYER NAMEPREVEA CLINIC, INC.
EMPLOYER ADDRESS2710 EXECUTIVE DRIVE
EMPLOYER CITYGREEN BAY
EMPLOYER STATEWI
EMPLOYER POSTAL CODE54304
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE8002363030
SECONDARY ENTITYFalse
SECONDARY ENTITY BUSINESS NAMEPREVEA CLINIC, INC.
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY NAMEGEOFFREYLACY
AGENT ATTORNEY CITYGREEN BAY
AGENT ATTORNEY STATEWI
LCA CASE JOB TITLEACTUARY
SOC CODE15-2011
SOC NAMEACTUARIES
NAICS CODE622110
TOTAL WORKERS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
FULL TIME POSITIONTrue
PREVAILING WAGE65603
PW UNIT OF PAYYear
PW WAGE LEVEL1
PW SOURCEOES
LCA CASE WAGE RATE FROM65603
LCA CASE WAGE RATE UNITYear
H1B DEPENDENTFalse
LCA CASE WORKLOC1 CITYGREEN BAY
WORKSITE COUNTYWISCONSIN
LCA CASE WORKLOC1 STATEWI
WORKSITE POSTAL CODE54304
WILLFUL VIOLATORFalse