| LCA CASE NUMBER | I-200-21141-333962 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-21 |
| DECISION DATE | 2021-05-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Accounting Manager |
| SOC CODE | 13-2011.00 |
| SOC TITLE | Accountants and Auditors |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-15 |
| END DATE | 2024-06-14 |
| 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 | Tri State Health Inc. |
| EMPLOYER ADDRESS1 | 107 N. Bridge Street |
| EMPLOYER CITY | Elkton |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21921 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13023682563 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Niaz |
| EMPLOYER POC FIRST NAME | Muhammed |
| EMPLOYER POC MIDDLE NAME | Khan |
| EMPLOYER POC JOB TITLE | Medical Director |
| EMPLOYER POC ADDRESS 1 | 107 N. Bridge Street |
| EMPLOYER POC CITY | Elkton |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21921 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13023682563 |
| EMPLOYER POC EMAIL | niazmuhammed@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hassonjee |
| AGENT ATTORNEY FIRST NAME | Farzana |
| AGENT ATTORNEY ADDRESS1 | 125 Commons Court |
| AGENT ATTORNEY CITY | Chadds Ford |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19317 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16103618079 |
| AGENT ATTORNEY EMAIL ADDRESS | admin@fqhlaw.com |
| LAWFIRM NAME BUSINESS NAME | Hassonjee Law Firm |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme courts of PA & NJ |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 107 N Bridge St. |
| LCA CASE WORKLOC1 CITY | Elkton |
| WORKSITE COUNTY | CECIL |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21921 |
| LCA CASE WAGE RATE FROM | 54392 |
| LCA CASE WAGE RATE TO | 54500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 54392 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hassonjee |
| PREPARER FIRST NAME | Farzana |
| PREPARER BUSINESS NAME | Hassonjee Law Firm |
| PREPARER EMAIL | admin@fqhlaw.com |
