| LCA CASE NUMBER | I-200-20078-417145 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-18 |
| DECISION DATE | 2020-03-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | RESIDENTIAL OPERATIONS COORDINATOR |
| SOC CODE | 21-1015.00 |
| SOC TITLE | Rehabilitation Counselors |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-15 |
| END DATE | 2023-07-14 |
| 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 | EVERGREEN CENTER, INC. |
| EMPLOYER ADDRESS1 | 345 FORTUNE BOULEVARD |
| EMPLOYER CITY | MILFORD |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1757 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15084782631 |
| NAICS CODE | 623990 |
| EMPLOYER POC LAST NAME | HURLBURT |
| EMPLOYER POC FIRST NAME | JUDY |
| EMPLOYER POC JOB TITLE | CHIEF ADMINISTRATIVE OFFICER |
| EMPLOYER POC ADDRESS1 | EVERGREEN CENTER, INC. |
| EMPLOYER POC ADDRESS2 | 345 FORTUNE BOULEVARD |
| EMPLOYER POC CITY | MILFORD |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1757 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15084782631 |
| EMPLOYER POC EMAIL | JHURLBURT@EVERGREENCTR.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | MAIONA |
| AGENT ATTORNEY FIRST NAME | MATTHEW |
| AGENT ATTORNEY MIDDLE NAME | JUDE |
| AGENT ATTORNEY ADDRESS1 | 31 MILK STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 401 |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02109 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16176952220.0 |
| AGENT ATTORNEY PHONE EXT | 103.0 |
| AGENT ATTORNEY EMAIL ADDRESS | MATTHEW@MAIONAWARD.COM |
| LAWFIRM NAME BUSINESS NAME | MAIONA & WARD, P.C. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | EVERGREEN CENTER, INC. |
| WORKSITE ADDRESS2 | 345 FORTUNE BOULEVARD |
| LCA CASE WORKLOC1 CITY | MILFORD |
| WORKSITE COUNTY | MILFORD |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1757 |
| LCA CASE WAGE RATE FROM | 63356.8 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 38771.0 |
| PW UNIT OF PAY | Year |
| 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 | MAIONA |
| PREPARER FIRST NAME | MATTHEW |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | MAIONA & WARD, P.C. |
| PREPARER EMAIL | MATTHEW@MAIONAWARD.COM |
