| LCA CASE NUMBER | I-200-21357-784719 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-23 |
| DECISION DATE | 2022-01-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chiropractor Associate Doctor |
| SOC CODE | 29-1011.00 |
| SOC TITLE | Chiropractors |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-10 |
| END DATE | 2025-01-09 |
| 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 | Lee DC Active Family Wellness |
| TRADE NAME DBA | Active Family Wellness PLLC |
| EMPLOYER ADDRESS1 | 10721 Main Street |
| EMPLOYER ADDRESS2 | Suite 1500 |
| EMPLOYER CITY | Fairfax |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22030 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17034075031 |
| NAICS CODE | 621310 |
| EMPLOYER POC LAST NAME | Lee |
| EMPLOYER POC FIRST NAME | Gregory |
| EMPLOYER POC MIDDLE NAME | K |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 10721 Main Street |
| EMPLOYER POC ADDRESS2 | Suite 1500 |
| EMPLOYER POC CITY | Fairfax |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22030 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17034075031 |
| EMPLOYER POC EMAIL | drlee@activefamilywellness.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Shin |
| AGENT ATTORNEY FIRST NAME | Sang |
| AGENT ATTORNEY ADDRESS1 | 1401 McKinney Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1900 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17137524408 |
| AGENT ATTORNEY EMAIL ADDRESS | sshin@jw.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Walker LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10721 Main Street |
| WORKSITE ADDRESS2 | Suite 1500 |
| LCA CASE WORKLOC1 CITY | Fairfax |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22030 |
| LCA CASE WAGE RATE FROM | 80000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 77314 |
| 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 |
| PREPARER LAST NAME | Shin |
| PREPARER FIRST NAME | Sang |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Jackson Walker LLP |
| PREPARER EMAIL | sshin@jw.com |
