\ H1B CASE NUMBER I-200-21096-200803



CASE NUNBER: I-200-21096-200803

LCA CASE NUMBERI-200-21096-200803
STATUSCertified - Withdrawn
LCA CASE SUBMIT2021-04-06
DECISION DATE2022-07-07
ORIGINAL CERT DATE2021-04-13
VISA CLASSH-1B
LCA CASE JOB TITLETableau Report Developer
SOC CODE15-1132.00
SOC TITLESoftware Developers, Applications
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-09-05
END DATE2024-09-04
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMECoordinated Care Services, Inc.
EMPLOYER ADDRESS11099 Jay Street, Bldg. J
EMPLOYER CITYRochester
EMPLOYER STATENY
EMPLOYER POSTAL CODE14611
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE15853285190
NAICS CODE541611
EMPLOYER POC LAST NAMEGebhardt
EMPLOYER POC FIRST NAMEJohn
EMPLOYER POC JOB TITLESr. HR Manager
EMPLOYER POC ADDRESS11099 Jay Street, Bldg. J
EMPLOYER POC CITYRochester
EMPLOYER POC STATENY
EMPLOYER POC POSTAL CODE14611
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE15853412240
EMPLOYER POC EMAILJGebhardt@ccsi.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEKomanecky
AGENT ATTORNEY FIRST NAMEBradley
AGENT ATTORNEY MIDDLE NAMEWilliam
AGENT ATTORNEY ADDRESS11900 Bausch & Lomb Place
AGENT ATTORNEY CITYRochester
AGENT ATTORNEY STATENY
AGENT ATTORNEY POSTAL CODE14604
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE15859872923
AGENT ATTORNEY EMAIL ADDRESSBkomanecky@woodsoviatt.com
LAWFIRM NAME BUSINESS NAMEBradley W. Komanecky
STATE OF HIGHEST COURTNY
NAME OF HIGHEST STATE COURTCourt of Appeals
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11099 Jay Street, Bldg. J
LCA CASE WORKLOC1 CITYRochester
WORKSITE COUNTYMONROE
LCA CASE WORKLOC1 STATENY
WORKSITE POSTAL CODE14611
LCA CASE WAGE RATE FROM85293
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE79248
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business