| LCA CASE NUMBER | I-200-23194-187787 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-07-13 |
| DECISION DATE | 2023-07-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | BEHAVIORAL EDUCATION TEAM SUPERVISOR |
| SOC CODE | 21-1015.00 |
| SOC TITLE | Rehabilitation Counselors |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-15 |
| END DATE | 2024-10-11 |
| 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 | EVERGREEN CENTER INC. |
| EMPLOYER ADDRESS1 | 345 FORTUNE BOULEVARD |
| EMPLOYER CITY | MILFORD |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01757 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15084782631 |
| NAICS CODE | 623990 |
| EMPLOYER POC LAST NAME | HURLBURT |
| EMPLOYER POC FIRST NAME | JUDY |
| EMPLOYER POC JOB TITLE | CHIEF ADMINISTRATIVE OFFICER |
| EMPLOYER POC ADDRESS1 | EVERGREEN CENTER INC |
| EMPLOYER POC ADDRESS2 | 345 FORTUNE BOULEVARD |
| EMPLOYER POC CITY | MILFORD |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01757 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15084782631 |
| EMPLOYER POC EMAIL | JHURLBURT@EVERGREENCTR.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | MAIONA |
| AGENT ATTORNEY FIRST NAME | MATTHEW |
| AGENT ATTORNEY MIDDLE NAME | JUDE |
| AGENT ATTORNEY ADDRESS1 | 101 FEDERAL STREET SUITE 1900 |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16176952220 |
| AGENT ATTORNEY PHONE EXT | 103 |
| AGENT ATTORNEY EMAIL ADDRESS | MATTHEW@MAIONAWARD.COM |
| LAWFIRM NAME BUSINESS NAME | MAIONA & WARD PC |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 345 FORTUNE BOULEVARD |
| LCA CASE WORKLOC1 CITY | MILFORD |
| WORKSITE COUNTY | MILFORD |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01757 |
| LCA CASE WAGE RATE FROM | 77896 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 46051 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | MAIONA |
| PREPARER FIRST NAME | MATTHEW |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | MAIONA & WARD PC |
| PREPARER EMAIL | MATTHEW@MAIONAWARD.COM |
