| LCA CASE NUMBER | I-200-21043-074488 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-12 |
| DECISION DATE | 2021-02-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Coordinator – STEM Preparatory Academy |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-14 |
| END DATE | 2024-05-13 |
| 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 | Family & Children's Services |
| EMPLOYER ADDRESS1 | 2400 Clifton Avenue |
| EMPLOYER CITY | Nashville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37209 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16153200591 |
| NAICS CODE | 624190 |
| EMPLOYER POC LAST NAME | McSurdy |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS 1 | 2400 Clifton Avenue |
| EMPLOYER POC CITY | Nashville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37209 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16153200591 |
| EMPLOYER POC EMAIL | mmcsurdy@fcsnashville.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | Quang |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16158508936 |
| AGENT ATTORNEY EMAIL ADDRESS | vinh.duong@wallerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| STATE OF HIGHEST COURT | TN |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | STEM Preparatory Academy |
| WORKSITE ADDRESS1 | 1162 Foster Avenue |
| LCA CASE WORKLOC1 CITY | Nashville |
| WORKSITE COUNTY | DAVIDSON |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37210 |
| LCA CASE WAGE RATE FROM | 41538 |
| LCA CASE WAGE RATE TO | 47481.41 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 41538 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Burk (05601) |
| PREPARER FIRST NAME | Kelsey |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| PREPARER EMAIL | kelsey.burk@wallerlaw.com |
