| LCA CASE NUMBER | I-200-20227-770349 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-14 |
| DECISION DATE | 2020-08-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | City Director |
| SOC CODE | 11-9151.00 |
| SOC TITLE | Social and Community Service Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-05 |
| END DATE | 2023-09-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Boy with a Ball, Inc. |
| EMPLOYER ADDRESS1 | 1945 Lawrenceville-Suwanee Rd |
| EMPLOYER CITY | Lawrenceville |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14044547702 |
| NAICS CODE | 81321 |
| EMPLOYER POC LAST NAME | Johnson |
| EMPLOYER POC FIRST NAME | Jamie |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 1945 Lawrenceville-Suwanee Rd |
| EMPLOYER POC CITY | Lawrenceville |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30043 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14044547702 |
| EMPLOYER POC EMAIL | jamie.johnson@boywithaball.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Bergmar |
| AGENT ATTORNEY FIRST NAME | Nina Maja |
| AGENT ATTORNEY ADDRESS1 | 171 17th Street NW |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30363 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14042147943.0 |
| AGENT ATTORNEY EMAIL ADDRESS | nbergmar@burr.com |
| LAWFIRM NAME BUSINESS NAME | Burr & Forman LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Georgia Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1452 Dorchester Ave. |
| WORKSITE ADDRESS2 | 4th Floor |
| LCA CASE WORKLOC1 CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02122 |
| LCA CASE WAGE RATE FROM | 48526.0 |
| LCA CASE WAGE RATE TO | 50000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 48526.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |