| LCA CASE NUMBER | I-200-21068-132574 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-09 |
| DECISION DATE | 2021-03-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Mental Skills Coach/Certified Mental Performance Consultant |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-11 |
| END DATE | 2024-08-10 |
| 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 | Premier Sport Psychology, PLLC |
| EMPLOYER ADDRESS1 | 7401 Metro Boulevard |
| EMPLOYER ADDRESS2 | Suite 510 |
| EMPLOYER CITY | Edina |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55439 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16513088415 |
| NAICS CODE | 621330 |
| EMPLOYER POC LAST NAME | Anderson |
| EMPLOYER POC FIRST NAME | Justin |
| EMPLOYER POC MIDDLE NAME | Stephen |
| EMPLOYER POC JOB TITLE | CEO/Owner |
| EMPLOYER POC ADDRESS 1 | 7401 Metro Boulevard |
| EMPLOYER POC ADDRESS 2 | Suite 510 |
| EMPLOYER POC CITY | Edina |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55439 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16513088415 |
| EMPLOYER POC EMAIL | janderson@premiersportpsychology.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Maxwell |
| AGENT ATTORNEY FIRST NAME | George |
| AGENT ATTORNEY MIDDLE NAME | Collier |
| AGENT ATTORNEY ADDRESS1 | 3950 IDS Center |
| AGENT ATTORNEY ADDRESS2 | 80 South Eighth Street |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123210082 |
| AGENT ATTORNEY EMAIL ADDRESS | gmaxwell@borene.com |
| LAWFIRM NAME BUSINESS NAME | Borene Law Firm, P.A. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7401 Metro Boulevard |
| WORKSITE ADDRESS2 | Suite 510 |
| LCA CASE WORKLOC1 CITY | Edina |
| WORKSITE COUNTY | HENNEPIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55439 |
| LCA CASE WAGE RATE FROM | 46280 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 46280 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
