| LCA CASE NUMBER | I-200-21303-677750 |
| STATUS | Denied |
| LCA CASE SUBMIT | 2021-10-30 |
| DECISION DATE | 2021-11-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Caregiving Coordinator |
| SOC CODE | 31-9099.00 |
| SOC TITLE | Healthcare Support Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-31 |
| END DATE | 2024-12-30 |
| TOTAL WORKER POSITIONS | 2 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Legacy Village of Sugar House |
| EMPLOYER ADDRESS1 | 1212 E. Wilmington Avenue |
| EMPLOYER CITY | Salt Lake City |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84106 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18014866000 |
| NAICS CODE | 623312 |
| EMPLOYER POC LAST NAME | Egbert |
| EMPLOYER POC FIRST NAME | Dave |
| EMPLOYER POC MIDDLE NAME | Louis |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 2569 E 8300 S |
| EMPLOYER POC CITY | South Weber |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84409 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18019497038 |
| EMPLOYER POC EMAIL | Davee@wslm.biz |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 2 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1212 E. Wilmington Avenue |
| LCA CASE WORKLOC1 CITY | Salt Lake City |
| WORKSITE COUNTY | SALT LAKE |
| LCA CASE WORKLOC1 STATE | UT |
| WORKSITE POSTAL CODE | 84106 |
| LCA CASE WAGE RATE FROM | 18.98 |
| LCA CASE WAGE RATE TO | 19 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 18.98 |
| 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 |
| H1B DEPENDENT | True |
| WILLFUL VIOLATOR | True |
| SUPPORT H1B | True |
| STATUTORY BASIS | Masters Degree or higher in related specialty |
| APPENDIX A ATTACHED | True |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Egbert |
| PREPARER FIRST NAME | Dave |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Legacy Village of Sugar House |
| PREPARER EMAIL | Davee@wslm.biz |
