| LCA CASE NUMBER | I-200-21152-357779 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-01 |
| DECISION DATE | 2021-06-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Service Coordinator |
| SOC CODE | 21-1093.00 |
| SOC TITLE | Social and Human Service Assistants |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-06-14 |
| END DATE | 2024-06-13 |
| 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 | Wayside Youth and Family Support Network, Inc. |
| EMPLOYER ADDRESS1 | 1 Frederick Abbott Way |
| EMPLOYER CITY | Framingham |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15082701234 |
| NAICS CODE | 624190 |
| EMPLOYER POC LAST NAME | DeCarvalho |
| EMPLOYER POC FIRST NAME | Guimel |
| EMPLOYER POC JOB TITLE | Vice President of People & Culture, Chief Diversity Officer |
| EMPLOYER POC ADDRESS 1 | 1 Frederick Abbott Way |
| EMPLOYER POC CITY | Framingham |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15082701234 |
| EMPLOYER POC EMAIL | Guimel_DeCarvalho@waysideyouth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lang |
| AGENT ATTORNEY FIRST NAME | Jessica |
| AGENT ATTORNEY MIDDLE NAME | K. |
| AGENT ATTORNEY ADDRESS1 | 75 Park Plaza |
| AGENT ATTORNEY ADDRESS2 | Floor 4 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2116 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16173670025 |
| AGENT ATTORNEY EMAIL ADDRESS | Jessica.Lang@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | MA |
|
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 151 West Boylston Drive |
| LCA CASE WORKLOC1 CITY | Worcester |
| WORKSITE COUNTY | WORCESTER CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1601 |
| LCA CASE WAGE RATE FROM | 18.27 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 12.8 |
| PW UNIT OF PAY | Hour |
| 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 | Capozzoli |
| PREPARER FIRST NAME | Paul |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | paul.capozzoli@jacksonlewis.com |
