| LCA CASE NUMBER | I-200-21295-663413 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-22 |
| DECISION DATE | 2021-10-29 |
| 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 | 2022-02-04 |
| END DATE | 2025-02-03 |
| 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 | Family Health Center, Inc. |
| EMPLOYER ADDRESS1 | 117 West Paterson Street |
| EMPLOYER CITY | Kalamazoo |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49007 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12693492641 |
| EMPLOYER PHONE EXT | 240 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Williams |
| EMPLOYER POC FIRST NAME | Ja'Ethel |
| EMPLOYER POC MIDDLE NAME | B. |
| EMPLOYER POC JOB TITLE | Executive Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 117 W. Paterson Street |
| EMPLOYER POC CITY | Kalamazoo |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49007 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12693492641 |
| EMPLOYER POC PHONE EXT | 240 |
| EMPLOYER POC EMAIL | jb.williams@fhckzoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Koryto |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Francis |
| AGENT ATTORNEY ADDRESS1 | 100 West Michigan Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Kalamazoo |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49007 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12692262979 |
| AGENT ATTORNEY EMAIL ADDRESS | korytoj@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 | 117 W. Paterson |
| LCA CASE WORKLOC1 CITY | Kalamazoo |
| WORKSITE COUNTY | KALAMAZOO |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49007 |
| LCA CASE WAGE RATE FROM | 100000.16 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89440 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Koryto |
| PREPARER FIRST NAME | John |
| PREPARER MIDDLE INITIAL | F. |
| PREPARER BUSINESS NAME | Miller Johnson |
| PREPARER EMAIL | korytoj@millerjohnson.com |
