| LCA CASE NUMBER | I-200-19330-167008 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-26 |
| DECISION DATE | 2019-12-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | CLIENT SERVICES COORDINATOR |
| SOC CODE | 21-1022.00 |
| SOC TITLE | Healthcare Social Workers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-24 |
| END DATE | 2023-05-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | NORTH STAR FAMILY MEDICINE |
| EMPLOYER ADDRESS1 | 7215 WYOMING SPRINGS DRIVE, BUILDING 3 |
| EMPLOYER ADDRESS2 | SUITE 700 |
| EMPLOYER CITY | ROUND ROCK |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 78681 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +15122463344 |
| NAICS CODE | 621330 |
| EMPLOYER POC LAST NAME | DAYAL |
| EMPLOYER POC FIRST NAME | VIVEK |
| EMPLOYER POC MIDDLE NAME | H |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 7215 WYOMING SPRINGS DRIVE, BUILDING 3 |
| EMPLOYER POC ADDRESS2 | SUITE 700 |
| EMPLOYER POC CITY | ROUND ROCK |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78681 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +15122463344 |
| EMPLOYER POC EMAIL | VHDAYAL@HOTMAIL.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | NANAYAKKARA |
| AGENT ATTORNEY FIRST NAME | CHIRANJAYA |
| AGENT ATTORNEY MIDDLE NAME | W |
| AGENT ATTORNEY ADDRESS1 | PO Box 1607 |
| AGENT ATTORNEY CITY | STAFFORD |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77497 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12812652522.0 |
| AGENT ATTORNEY EMAIL ADDRESS | CNANAYAKKARA@GRWPC.COM |
| LAWFIRM NAME BUSINESS NAME | WILLY, NANAYAKKARA & ASSOCIATES |
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF ALABAMA |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 7215 WYOMING SPRINGS DRIVE, BUILDING 3 |
| WORKSITE ADDRESS2 | SUITE 700 |
| LCA CASE WORKLOC1 CITY | ROUND ROCK |
| WORKSITE COUNTY | WILLIAMSON |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 78681 |
| LCA CASE WAGE RATE FROM | 23.24 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 23.24 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | CADER |
| PREPARER FIRST NAME | SHIFAN |
| PREPARER BUSINESS NAME | WILLY, NANAYAKKARA & ASSOCIATES |
| PREPARER EMAIL | SCADER@GRWPC.COM |
