| LCA CASE NUMBER | I-200-21125-289512 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-05 |
| DECISION DATE | 2021-05-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Training and Development Specialist |
| SOC CODE | 13-1151.00 |
| SOC TITLE | Training and Development Specialists |
| 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 | Safe Harbor Senior Services Corp |
| TRADE NAME DBA | Amada Senior Care |
| EMPLOYER ADDRESS1 | 4740 Green River Road |
| EMPLOYER ADDRESS2 | Ste 105 |
| EMPLOYER CITY | Corona |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92878-9437 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16268388870 |
| NAICS CODE | 62161 |
| EMPLOYER POC LAST NAME | Li |
| EMPLOYER POC FIRST NAME | Tiannuo |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 4740 Green River Rd |
| EMPLOYER POC ADDRESS 2 | Ste 105 |
| EMPLOYER POC CITY | Corona |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92878-9437 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16268388870 |
| EMPLOYER POC EMAIL | Derek.l@amadaseniorcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kolodziej |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY ADDRESS1 | 88 Pine ST |
| AGENT ATTORNEY ADDRESS2 | 18th FL |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10005 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13478976199 |
| AGENT ATTORNEY EMAIL ADDRESS | matthew.kolodziej@jiaesq.com |
| LAWFIRM NAME BUSINESS NAME | Jia Law Group |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4740 Green River Road |
| WORKSITE ADDRESS2 | Ste 105 |
| LCA CASE WORKLOC1 CITY | Corona |
| WORKSITE COUNTY | RIVERSIDE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92878-9437 |
| LCA CASE WAGE RATE FROM | 96000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80766 |
| 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 | Meyer |
| PREPARER FIRST NAME | Zachary |
| PREPARER BUSINESS NAME | Jia Law Group |
| PREPARER EMAIL | Zach.Meyer@jiaesq.com |
