| LCA CASE NUMBER | I-200-21132-307884 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-12 |
| DECISION DATE | 2021-05-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-15 |
| END DATE | 2024-07-14 |
| 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 | Upstate Family Health Center, Inc. |
| EMPLOYER ADDRESS1 | 1001 Noyes Street |
| EMPLOYER CITY | Utica |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13502 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13156249472 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Milligan |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 1001 Noyes Street |
| EMPLOYER POC CITY | Utica |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13502 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13156249470 |
| EMPLOYER POC EMAIL | John.Milligan@UFHCinc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Behm |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 2300 Wehrle Drive |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17166341010 |
| AGENT ATTORNEY EMAIL ADDRESS | jebehm@usimmlawyer.com |
| LAWFIRM NAME BUSINESS NAME | Berardi Immigration Law |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals, Fourth Dept. |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1001 Noyes Street |
| LCA CASE WORKLOC1 CITY | Utica |
| WORKSITE COUNTY | ONEIDA |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13502 |
| LCA CASE WAGE RATE FROM | 105000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85363 |
| 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 | Behm |
| PREPARER FIRST NAME | Jennifer |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Berardi Immigration Law |
| PREPARER EMAIL | jebehm@usimmlawyer.com |
