| LCA CASE NUMBER | I-200-21060-110058 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-01 |
| DECISION DATE | 2021-03-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Community Health Program Coornidator |
| SOC CODE | 21-1094.00 |
| SOC TITLE | Community Health Workers |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-03-15 |
| END DATE | 2024-03-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Korean Community Service Center of Greater Washington, Inc. |
| EMPLOYER ADDRESS1 | 7700 Little River Tpke., Suite 406 |
| EMPLOYER CITY | Annandale |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17033546345 |
| NAICS CODE | 813212 |
| EMPLOYER POC LAST NAME | Cho |
| EMPLOYER POC FIRST NAME | Ji-Yong |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS 1 | 7700 Little River Tpke., Suite 406 |
| EMPLOYER POC CITY | Annandale |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17033546345 |
| EMPLOYER POC EMAIL | jycho@kcscgw.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Yu |
| AGENT ATTORNEY FIRST NAME | Xiaohui |
| AGENT ATTORNEY ADDRESS1 | 110 N Washington Street |
| AGENT ATTORNEY ADDRESS2 | Suite 328E |
| AGENT ATTORNEY CITY | Rockville |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20850 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13018388986 |
| AGENT ATTORNEY EMAIL ADDRESS | syu@yulegal.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Yu and Associates |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7700 Little River Tpke., Suite 406 |
| LCA CASE WORKLOC1 CITY | Annandale |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22003 |
| LCA CASE WAGE RATE FROM | 20 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 16.22 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 | Yu |
| PREPARER FIRST NAME | Xiaohui |
| PREPARER BUSINESS NAME | Yu & Associates |
| PREPARER EMAIL | syu@yulegal.com |
