| LCA CASE NUMBER | I-200-21118-266884 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-28 |
| DECISION DATE | 2021-05-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician's Assistant |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| 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 | Park Avenue Lasek |
| EMPLOYER ADDRESS1 | 102 E 25th St |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12127418628 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Chynn |
| EMPLOYER POC FIRST NAME | Emil |
| EMPLOYER POC MIDDLE NAME | William |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 102 E 25th St |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12127418628 |
| EMPLOYER POC EMAIL | drlasek@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cuic |
| AGENT ATTORNEY FIRST NAME | Aleksandar |
| AGENT ATTORNEY ADDRESS1 | 1468 W 9th St |
| AGENT ATTORNEY ADDRESS2 | Suite 705 |
| AGENT ATTORNEY CITY | Cleveland |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44113 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12168614414 |
| AGENT ATTORNEY EMAIL ADDRESS | acuic@rbrownllc.com |
| LAWFIRM NAME BUSINESS NAME | Robert Brown LLC |
| STATE OF HIGHEST COURT | OH |
|
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 102 E 25th St |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10010 |
| LCA CASE WAGE RATE FROM | 97448 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 97448 |
| 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 |
