| LCA CASE NUMBER | I-200-20129-555274 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-08 |
| DECISION DATE | 2020-05-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physical Therapist |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-11-01 |
| END DATE | 2023-10-31 |
| 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 | Hawthorne Holding LLC |
| TRADE NAME DBA | White Blossom Care Center |
| EMPLOYER ADDRESS1 | 1990 Fruitdale Avenue |
| EMPLOYER CITY | San Jose |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95128 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14089988447 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Suri |
| EMPLOYER POC FIRST NAME | Manju |
| EMPLOYER POC JOB TITLE | Facility Rehab Director |
| EMPLOYER POC ADDRESS1 | 1990 Fruitdale Avenue |
| EMPLOYER POC CITY | San Jose |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95128 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15103059678 |
| EMPLOYER POC EMAIL | manju@plum.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | NUNEZ |
| AGENT ATTORNEY FIRST NAME | JAY |
| AGENT ATTORNEY MIDDLE NAME | IGNACIO |
| AGENT ATTORNEY ADDRESS1 | 1500 Quail Street |
| AGENT ATTORNEY ADDRESS2 | 260 |
| AGENT ATTORNEY CITY | Newport Beach |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92660 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19498332616.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jnelson964@aol.com |
| LAWFIRM NAME BUSINESS NAME | Nelson & Nunez, P.C. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1990 Fruitdale Avenue |
| LCA CASE WORKLOC1 CITY | San Jose |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95128 |
| LCA CASE WAGE RATE FROM | 50.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 49.31 |
| PW UNIT OF PAY | Hour |
| 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 | NUNEZ |
| PREPARER FIRST NAME | JAY |
| PREPARER MIDDLE INITIAL | I |
| PREPARER BUSINESS NAME | Nelson & Nunez, P.C. |
| PREPARER EMAIL | jnelson964@aol.com |
