| LCA CASE NUMBER | I-200-21106-229723 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-15 |
| DECISION DATE | 2021-04-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Community Health Program Coordinator |
| SOC CODE | 21-1094.00 |
| SOC TITLE | Community Health Workers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-30 |
| END DATE | 2024-04-28 |
| 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 | Dona Cooper-Dockery, MD, PA. |
| TRADE NAME DBA | Cooper Internal Medicine & Cooper Wellness & Disease Prevention |
| EMPLOYER ADDRESS1 | 801 E Nolana Ave |
| EMPLOYER ADDRESS2 | Suite 12 |
| EMPLOYER CITY | McAllen |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 78504 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19566868802 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Mukete |
| EMPLOYER POC FIRST NAME | Abel |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS 1 | 801 E Nolana Ave |
| EMPLOYER POC ADDRESS 2 | Suite 12 |
| EMPLOYER POC CITY | McAllen |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78504 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19566868802 |
| EMPLOYER POC EMAIL | mukete.cooperinternalmedicine@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ponce |
| AGENT ATTORNEY FIRST NAME | Cesar |
| AGENT ATTORNEY MIDDLE NAME | Augusto |
| AGENT ATTORNEY ADDRESS1 | 8333 NW 53rd Street |
| AGENT ATTORNEY ADDRESS2 | Suite 450 |
| AGENT ATTORNEY CITY | Doral |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33166 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17862053064 |
| AGENT ATTORNEY EMAIL ADDRESS | cesarmw1@gmail.com |
| LAWFIRM NAME BUSINESS NAME | EPA MASTER ONE, INC. |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 801 E Nolana Ave |
| WORKSITE ADDRESS2 | Suite 12 |
| LCA CASE WORKLOC1 CITY | McAllen |
| WORKSITE COUNTY | HIDALGO |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 78504 |
| LCA CASE WAGE RATE FROM | 35214 |
| LCA CASE WAGE RATE TO | 35215 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 35214 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 | Ponce |
| PREPARER FIRST NAME | Cesar |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | EPA MASTER ONE, INC. |
| PREPARER EMAIL | cesarmw1@gmail.com |
