| LCA CASE NUMBER | I-200-21242-553381 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-30 |
| DECISION DATE | 2021-09-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-29 |
| END DATE | 2024-10-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Heartland Community Health Clinic |
| TRADE NAME DBA | Heartland Health Services |
| EMPLOYER ADDRESS1 | 2214 North University Street |
| EMPLOYER CITY | Peoria |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13096807600 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Lenz |
| EMPLOYER POC FIRST NAME | Lauren |
| EMPLOYER POC MIDDLE NAME | Margaret |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS1 | 2214 North University Street |
| EMPLOYER POC CITY | Peoria |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13096807636 |
| EMPLOYER POC EMAIL | l.lenz@hhsil.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sherman |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Ian |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 252133 |
| AGENT ATTORNEY CITY | West Bloomfield |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48325 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12488517575 |
| AGENT ATTORNEY EMAIL ADDRESS | greencards@aol.com |
| LAWFIRM NAME BUSINESS NAME | Sherman Immigration Lawyers, P.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1701 West Garden Street |
| LCA CASE WORKLOC1 CITY | Peoria |
| WORKSITE COUNTY | PEORIA |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61605 |
| LCA CASE WAGE RATE FROM | 48.87 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 48.87 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
