| LCA CASE NUMBER | I-200-21153-361992 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-02 |
| DECISION DATE | 2021-06-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Fair Haven Community Health Clinic, Inc. |
| TRADE NAME DBA | Fair Haven Community Health Care |
| EMPLOYER ADDRESS1 | 374 Grand Avenue |
| EMPLOYER CITY | New Haven |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6513 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12037525123 |
| NAICS CODE | 621999 |
| EMPLOYER POC LAST NAME | Marrocco |
| EMPLOYER POC FIRST NAME | Therese |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS 1 | 374 Grand Avenue |
| EMPLOYER POC CITY | Springfield |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06513 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12037525123 |
| EMPLOYER POC EMAIL | t.marrocco@fhchc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Berger |
| AGENT ATTORNEY FIRST NAME | Dan |
| AGENT ATTORNEY MIDDLE NAME | H |
| AGENT ATTORNEY ADDRESS1 | Curran, Berger & Kludt |
| AGENT ATTORNEY ADDRESS2 | 79 Masonic St |
| AGENT ATTORNEY CITY | Northampton |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 1060 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14135843232 |
| AGENT ATTORNEY EMAIL ADDRESS | dhb@cbkimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Curran, Berger & Kludt |
|
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 374 Grand Avenue |
| LCA CASE WORKLOC1 CITY | New Haven |
| WORKSITE COUNTY | NEW HAVEN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6513 |
| LCA CASE WAGE RATE FROM | 190000 |
| LCA CASE WAGE RATE TO | 215000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 159411 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
