| LCA CASE NUMBER | I-200-21272-612810 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-29 |
| DECISION DATE | 2021-10-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Director of Nursing |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-08 |
| END DATE | 2024-11-07 |
| 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 | PINE REST CHRISTIAN HEALTH MENTAL SERVICES |
| EMPLOYER ADDRESS1 | 300 68TH STREET SE |
| EMPLOYER CITY | Grand Rapids |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16169569614 |
| EMPLOYER PHONE EXT | 6961 |
| NAICS CODE | 623220 |
| EMPLOYER POC LAST NAME | Nykamp |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC MIDDLE NAME | Lee |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT, CHIEF OPERATING OFFICER |
| EMPLOYER POC ADDRESS1 | 300 68TH STREET SE |
| EMPLOYER POC CITY | GRAND RAPIDS |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16164555000 |
| EMPLOYER POC EMAIL | BOB.NYKAMP@PINEREST.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Battle |
| AGENT ATTORNEY FIRST NAME | Kevin |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 45 Ottawa Avenue S.W. |
| AGENT ATTORNEY ADDRESS2 | Ste 1100 |
| AGENT ATTORNEY CITY | Grand Rapids |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16168311718 |
| AGENT ATTORNEY EMAIL ADDRESS | battlek@millerjohnson.com |
|
| LAWFIRM NAME BUSINESS NAME | MILLER JOHNSON |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 300 68th Street SE |
| LCA CASE WORKLOC1 CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49548 |
| LCA CASE WAGE RATE FROM | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85114 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
