| LCA CASE NUMBER | I-200-21145-342654 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-25 |
| DECISION DATE | 2021-06-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Social Worker |
| SOC CODE | 21-1023.00 |
| SOC TITLE | Mental Health and Substance Abuse Social Workers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-16 |
| END DATE | 2024-07-15 |
| 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 | KOREAN COMMUNITY SERVICES OF METROPOLITAN NEW YORK, INC. |
| EMPLOYER ADDRESS1 | 203-05 32nd Avenue |
| EMPLOYER CITY | Bayside |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11361 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17189396137 |
| NAICS CODE | 624190 |
| EMPLOYER POC LAST NAME | SHIN |
| EMPLOYER POC FIRST NAME | KIWON |
| EMPLOYER POC JOB TITLE | SECRETARY OF THE BOARD |
| EMPLOYER POC ADDRESS 1 | 203-05 32ND AVENUE |
| EMPLOYER POC CITY | BAYSIDE |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11361 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17189396137 |
| EMPLOYER POC EMAIL | kiwonshin@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PARK |
| AGENT ATTORNEY FIRST NAME | GRACE |
| AGENT ATTORNEY MIDDLE NAME | SOYEON |
| AGENT ATTORNEY ADDRESS1 | 164-01 NORTHERN BLVD |
| AGENT ATTORNEY ADDRESS2 | 2ND FLOOR |
| AGENT ATTORNEY CITY | FLUSHING |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11358 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17188887799 |
| AGENT ATTORNEY EMAIL ADDRESS | PARK@GSPARKLAW.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF GRACE S. PARK P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 203-05 32ND AVENUE |
| LCA CASE WORKLOC1 CITY | Bayside |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11361 |
| LCA CASE WAGE RATE FROM | 56493 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 56493 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 and Employment |
| PREPARER LAST NAME | Park |
| PREPARER FIRST NAME | Grace |
| PREPARER MIDDLE INITIAL | S. |
| PREPARER BUSINESS NAME | Law Offices of Grace S. Park P.C. |
| PREPARER EMAIL | park@gsparklaw.com |
