| LCA CASE NUMBER | I-200-22053-920318 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-02-22 |
| DECISION DATE | 2022-03-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Social Worker |
| SOC CODE | 21-1022.00 |
| SOC TITLE | Healthcare Social Workers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-03-07 |
| END DATE | 2025-03-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Forever Young Medical Daycare LLC |
| EMPLOYER ADDRESS1 | 18 Worlds Fair Drive |
| EMPLOYER CITY | Somerset |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 08873 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17322718010 |
| NAICS CODE | 624120 |
| EMPLOYER POC LAST NAME | TOLCHEVA |
| EMPLOYER POC FIRST NAME | Marina |
| EMPLOYER POC JOB TITLE | LLC Member, Owner |
| EMPLOYER POC ADDRESS1 | 18 Worlds Fair Drive |
| EMPLOYER POC CITY | Somerset |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 08873 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17322718010 |
| EMPLOYER POC EMAIL | mtolcheva@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | YAO |
| AGENT ATTORNEY FIRST NAME | Alice |
| AGENT ATTORNEY MIDDLE NAME | Y |
| AGENT ATTORNEY ADDRESS1 | 8 Bridge Street |
| AGENT ATTORNEY CITY | Metuchen |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 08840 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17325489595 |
| AGENT ATTORNEY EMAIL ADDRESS | alice.yaoesq@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Alice Y Yao Esq |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 18 Worlds Fair Drive |
| LCA CASE WORKLOC1 CITY | Somerset |
| WORKSITE COUNTY | SOMERSET |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 08873 |
| LCA CASE WAGE RATE FROM | 66560 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 64542 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | YAO |
| PREPARER FIRST NAME | Alice |
| PREPARER MIDDLE INITIAL | Y |
| PREPARER BUSINESS NAME | Law Office of Alice Y Yao Esq |
| PREPARER EMAIL | alice.yaoesq@gmail.com |
