| LCA CASE NUMBER | I-200-20261-831408 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-17 |
| DECISION DATE | 2020-09-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Accounting Manager |
| SOC CODE | 11-3031.00 |
| SOC TITLE | Financial Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-21 |
| END DATE | 2023-09-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Evergreen Family Medicine |
| EMPLOYER ADDRESS1 | 2570 NW Edenbower Blvd |
| EMPLOYER ADDRESS2 | STE 100 |
| EMPLOYER CITY | Roseburg |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97471 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15412293332 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | TYREE |
| EMPLOYER POC FIRST NAME | Kim |
| EMPLOYER POC JOB TITLE | Chief Operations Officer |
| EMPLOYER POC ADDRESS1 | 2570 NW Edenbower Blvd |
| EMPLOYER POC ADDRESS2 | STE 100 |
| EMPLOYER POC CITY | Roseburg |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97471 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15412293332 |
| EMPLOYER POC EMAIL | ktyree@efmpc.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Parrilli |
| AGENT ATTORNEY FIRST NAME | Tifani |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 610 SW BROADWAY |
| AGENT ATTORNEY ADDRESS2 | SUITE 505 |
| AGENT ATTORNEY CITY | PORTLAND |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97205 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15035977192.0 |
| AGENT ATTORNEY EMAIL ADDRESS | notify.tifani@entrylaw.com |
| LAWFIRM NAME BUSINESS NAME | PARRILLI RENISON LLC |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | Oregon Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2570 NW Edenbower Blvd |
| WORKSITE ADDRESS2 | STE 100 |
| LCA CASE WORKLOC1 CITY | Roseburg |
| WORKSITE COUNTY | DOUGLAS |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97471 |
| LCA CASE WAGE RATE FROM | 92137.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 79976.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 Business |
