| LCA CASE NUMBER | I-200-20252-810408 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-08 |
| DECISION DATE | 2020-09-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HEALTH AND WELLNESS EDUCATOR AND DIRECTOR |
| SOC CODE | 21-1091 |
| SOC TITLE | HEALTH EDUCATORS |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-15 |
| END DATE | 2023-09-14 |
| 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 | Fargo Maple View LLC |
| TRADE NAME DBA | Maple View Memory Care |
| EMPLOYER ADDRESS1 | 4552 36th Ave S |
| EMPLOYER CITY | Fargo |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17014788655 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Haider |
| EMPLOYER POC FIRST NAME | Jordyn |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS1 | 4552 36th Ave S |
| EMPLOYER POC CITY | Fargo |
| EMPLOYER POC STATE | ND |
| EMPLOYER POC POSTAL CODE | 58104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17014788655 |
| EMPLOYER POC EMAIL | jordynh@lifeatmapleview.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Gokey |
| AGENT ATTORNEY FIRST NAME | Frank |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 468 |
| AGENT ATTORNEY CITY | Fargo |
| AGENT ATTORNEY STATE | ND |
| AGENT ATTORNEY POSTAL CODE | 58107 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17013565995.0 |
| AGENT ATTORNEY EMAIL ADDRESS | snyder@gokeylaw.com |
| LAWFIRM NAME BUSINESS NAME | Gokey Law Office, PLLC |
| STATE OF HIGHEST COURT | ND |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4552 36TH AVE. S |
| LCA CASE WORKLOC1 CITY | Fargo |
| WORKSITE COUNTY | CASS |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58104 |
| LCA CASE WAGE RATE FROM | 62949.0 |
| LCA CASE WAGE RATE TO | 62950.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 62941.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
| PREPARER LAST NAME | Gokey |
| PREPARER FIRST NAME | Frank |
| PREPARER MIDDLE INITIAL | G. |
| PREPARER BUSINESS NAME | Gokey Law Office, PLLC |
| PREPARER EMAIL | snyder@gokeylaw.com |
