| LCA CASE NUMBER | I-200-21004-993618 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-04 |
| DECISION DATE | 2021-01-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | EPIC Application Analyst - Population Management |
| SOC CODE | 15-2041.00 |
| SOC TITLE | Statisticians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-04 |
| END DATE | 2023-08-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | The Brooklyn Hospital Center (Non-GME) |
| EMPLOYER ADDRESS1 | 121 DeKalb Avenue |
| EMPLOYER CITY | Brooklyn |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17182506263 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Mennonna |
| EMPLOYER POC FIRST NAME | Guy |
| EMPLOYER POC JOB TITLE | Sr. Vice President, HR |
| EMPLOYER POC ADDRESS 1 | 121 DeKalb Avenue |
| EMPLOYER POC CITY | Brooklyn |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17182506263 |
| EMPLOYER POC EMAIL | gmennonna@tbh.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | White |
| AGENT ATTORNEY FIRST NAME | Michelle |
| AGENT ATTORNEY MIDDLE NAME | Anne |
| AGENT ATTORNEY ADDRESS1 | 333 S.E. 2nd Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Miami |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13054007500 |
| AGENT ATTORNEY EMAIL ADDRESS | MAWhite@littler.com |
| LAWFIRM NAME BUSINESS NAME | Littler Mendelson, P.C. |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 26371 Paloma |
| WORKSITE ADDRESS2 | #129 |
| LCA CASE WORKLOC1 CITY | Foothill Ranch |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92610 |
| LCA CASE WAGE RATE FROM | 79955 |
| LCA CASE WAGE RATE TO | 95790 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 79955 |
| 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 | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | White |
| PREPARER FIRST NAME | Michelle |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | Littler Mendelson, P.C. |
| PREPARER EMAIL | mawhite@littler.com |
