| LCA CASE NUMBER | I-200-25064-744360 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-03-04 |
| DECISION DATE | 2025-03-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-09-02 |
| END DATE | 2028-09-01 |
| 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 | Grey Pine Holdings, LLC |
| TRADE NAME DBA | Shadelands Post Acute |
| EMPLOYER ADDRESS1 | 2765 Mitchell Dr. |
| EMPLOYER CITY | Walnut Creek |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94598 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19254483782 |
| EMPLOYER FEIN | 83-2224202 |
| NAICS CODE | 62311 |
| EMPLOYER POC LAST NAME | Hadley |
| EMPLOYER POC FIRST NAME | Matthew |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS1 | 2765 Mitchell Dr. |
| EMPLOYER POC CITY | Walnut Creek |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94598 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19254483782 |
| EMPLOYER POC EMAIL | matt.hadley@lonetreepa.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stevenson |
| AGENT ATTORNEY FIRST NAME | Shanon |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 1230 Peachtree St NE |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14042405842 |
| AGENT ATTORNEY EMAIL ADDRESS | sstevenson@fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2765 Mitchell Dr. |
| LCA CASE WORKLOC1 CITY | Walnut Creek |
| WORKSITE COUNTY | CONTRA COSTA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94598 |
| LCA CASE WAGE RATE FROM | 56 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 52.84 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |