| LCA CASE NUMBER | I-200-20094-456528 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-03 |
| DECISION DATE | 2020-04-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Crisis Intervention Specialist |
| SOC CODE | 21-1011.00 |
| SOC TITLE | Substance Abuse and Behavioral Disorder Counselors |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | St. Coletta of Wisconsin Inc. |
| EMPLOYER ADDRESS1 | N4637 County Road Y |
| EMPLOYER CITY | Jefferson |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53549 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19206744330 |
| NAICS CODE | 623210 |
| EMPLOYER POC LAST NAME | Klug |
| EMPLOYER POC FIRST NAME | Staci |
| EMPLOYER POC JOB TITLE | Human Resources Generalist |
| EMPLOYER POC ADDRESS1 | N4637 County Road Y |
| EMPLOYER POC CITY | Jefferson |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53549 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19206744330 |
| EMPLOYER POC EMAIL | sklug@stcolettawi.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Petersen |
| AGENT ATTORNEY FIRST NAME | Laurie |
| AGENT ATTORNEY MIDDLE NAME | Ann |
| AGENT ATTORNEY ADDRESS1 | 411 E. Wisconsin Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 1800 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14142733910.0 |
| AGENT ATTORNEY PHONE EXT | 804.0 |
| AGENT ATTORNEY EMAIL ADDRESS | lpetersen@lindner-marsack.com |
| LAWFIRM NAME BUSINESS NAME | Lindner & Marsack, S.C. |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | N4637 County Road Y |
| LCA CASE WORKLOC1 CITY | Jefferson |
| WORKSITE COUNTY | JEFFERSON |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53549 |
| LCA CASE WAGE RATE FROM | 50003.2 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 41891.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Petersen |
| PREPARER FIRST NAME | Laurie |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Lindner & Marsack, S.C. |
| PREPARER EMAIL | lpetersen@lindner-marsack.com |
