| LCA CASE NUMBER | I-200-21102-217954 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-12 |
| DECISION DATE | 2021-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Case Manager |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Hearth, Inc. |
| EMPLOYER ADDRESS1 | 1640 Washington Street |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2118 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16173691550 |
| NAICS CODE | 624229 |
| EMPLOYER POC LAST NAME | Matchett |
| EMPLOYER POC FIRST NAME | Dawn |
| EMPLOYER POC JOB TITLE | Chief Program Officer |
| EMPLOYER POC ADDRESS 1 | 1640 Washington Street |
| EMPLOYER POC CITY | Boston |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02118 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16173691554 |
| EMPLOYER POC EMAIL | dmatchett@hearth-home.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Riccio |
| AGENT ATTORNEY FIRST NAME | Laurie |
| AGENT ATTORNEY MIDDLE NAME | B. |
| AGENT ATTORNEY ADDRESS1 | 18 Tremont Street |
| AGENT ATTORNEY ADDRESS2 | Suite 601 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MA |
| AGENT ATTORNEY PHONE | 16177424444 |
| AGENT ATTORNEY PHONE EXT | 104 |
| AGENT ATTORNEY EMAIL ADDRESS | MelissaF@costariccio.com |
| LAWFIRM NAME BUSINESS NAME | Costa & Riccio LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Ruggles Assisted Living |
| WORKSITE ADDRESS1 | FOR Hearth Inc. AT 25 Ruggles Street |
| LCA CASE WORKLOC1 CITY | Roxbury |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2119 |
| LCA CASE WAGE RATE FROM | 56000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 32448 |
| 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 Business |
| PREPARER LAST NAME | Glassbrenner |
| PREPARER FIRST NAME | Melissa |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Costa & Riccio LLP |
| PREPARER EMAIL | MelissaF@costariccio.com |
