| LCA CASE NUMBER | I-200-21074-145293 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-14 |
| DECISION DATE | 2021-03-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Health Program/Service Coordinator |
| SOC CODE | 21-1091.00 |
| SOC TITLE | Health Educators |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-05-16 |
| END DATE | 2024-05-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Ann Kim MD PC |
| EMPLOYER ADDRESS1 | 44 Sylvan Avenue |
| EMPLOYER ADDRESS2 | Suite 2D |
| EMPLOYER CITY | Englewood Cliffs |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7632 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12015850957 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Kim |
| EMPLOYER POC FIRST NAME | Ann |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 44 Sylvan Avenue |
| EMPLOYER POC ADDRESS 2 | Ste 2D |
| EMPLOYER POC CITY | Englewood Cliffs |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 07632 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12015850957 |
| EMPLOYER POC EMAIL | dr.annkim@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cho |
| AGENT ATTORNEY FIRST NAME | Celina |
| AGENT ATTORNEY MIDDLE NAME | Moon-Kyung |
| AGENT ATTORNEY ADDRESS1 | 460 Bergen Blvd |
| AGENT ATTORNEY ADDRESS2 | Ste 305 |
| AGENT ATTORNEY CITY | Palisades Park |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7650 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12015857409 |
| AGENT ATTORNEY EMAIL ADDRESS | immigration@kcllawfirm.com |
| LAWFIRM NAME BUSINESS NAME | Kim, Cho & Lim, LLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 44 Sylvan Avenue |
| WORKSITE ADDRESS2 | Ste 2D |
| LCA CASE WORKLOC1 CITY | Englewood Cliffs |
| WORKSITE COUNTY | BERGEN |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 7632 |
| LCA CASE WAGE RATE FROM | 20.12 |
| LCA CASE WAGE RATE TO | 24.04 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.12 |
| 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 |
