| LCA CASE NUMBER | I-200-19337-177909 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-12-03 |
| DECISION DATE | 2021-09-01 |
| ORIGINAL CERT DATE | 2019-12-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Manager |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2019-12-15 |
| END DATE | 2022-12-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Livingston Community Health |
| TRADE NAME DBA | Livingston Health Center |
| EMPLOYER ADDRESS1 | 600 B Street |
| EMPLOYER ADDRESS2 | Bldg. A |
| EMPLOYER CITY | Livingston |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95334 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12093941934 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Shears |
| EMPLOYER POC FIRST NAME | Janelle |
| EMPLOYER POC MIDDLE NAME | Diane |
| EMPLOYER POC JOB TITLE | Chief Administrative Officer |
| EMPLOYER POC ADDRESS1 | 600 B Street |
| EMPLOYER POC ADDRESS2 | Bldg. A |
| EMPLOYER POC CITY | Livingston |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95334 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12093941934 |
| EMPLOYER POC EMAIL | jshears@visitlch.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tong |
| AGENT ATTORNEY FIRST NAME | Lorraine |
| AGENT ATTORNEY ADDRESS1 | 600 Wilshire Boulevard |
| AGENT ATTORNEY ADDRESS2 | Suite 1550 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12136234592 |
| AGENT ATTORNEY PHONE EXT | 106 |
| AGENT ATTORNEY EMAIL ADDRESS | LTong@shusterman.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Carl Shusterman |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 600 B Street |
| WORKSITE ADDRESS2 | Bldg. A |
| LCA CASE WORKLOC1 CITY | Livingston |
| WORKSITE COUNTY | MERCED |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95334 |
| LCA CASE WAGE RATE FROM | 90792 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 90792 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Tong |
| PREPARER FIRST NAME | Lorraine |
| PREPARER BUSINESS NAME | Law Offices of Carl Shusterman |
| PREPARER EMAIL | LTong@shusterman.com |
