| LCA CASE NUMBER | I-200-21074-146366 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-15 |
| DECISION DATE | 2021-03-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Assistant Director of Nursing |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-01 |
| END DATE | 2024-03-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Forest Street LTC, LLLP |
| TRADE NAME DBA | Forest Street Compassionate Care Center |
| EMPLOYER ADDRESS1 | 3440 Youngfield St#358 |
| EMPLOYER CITY | Wheat Ridge |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80033 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17209290086 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Primosch |
| EMPLOYER POC FIRST NAME | Jeremy |
| EMPLOYER POC JOB TITLE | General Counsel |
| EMPLOYER POC ADDRESS 1 | 3440 Youngfield St #358 |
| EMPLOYER POC CITY | Wheat Ridge |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80033 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17209290086 |
| EMPLOYER POC EMAIL | legal@senexfoundation.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3345 Forest St |
| LCA CASE WORKLOC1 CITY | Denver |
| WORKSITE COUNTY | DENVER |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 80207 |
| LCA CASE WAGE RATE FROM | 76378 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 76378 |
| PW UNIT OF PAY | Year |
| 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 Employment |
