| LCA CASE NUMBER | I-200-18106-410675 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/17/18 |
| DECISION DATE | 4/23/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/24/18 |
| EMPLOYMENT END DATE | 4/23/21 |
| LCA CASE EMPLOYER NAME | SUBURBAN PHARMACY LTC, INC. |
| EMPLOYER BUSINESS DBA | SUBURBAN LONG TERM CARE |
| EMPLOYER ADDRESS | 342 NORTH MAIN STREET |
| EMPLOYER CITY | WEST HARTFORD |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06117 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 8608821808 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | JETHMALANI, ANIL |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | REGULATORY & COMPLIANCE ANALYST IV |
| SOC CODE | 13-1111 |
| SOC NAME | MANAGEMENT ANALYSTS |
| NAICS CODE | 446110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 114,379.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 114,379.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | WEST HARTFORD |
| WORKSITE COUNTY | HARTFORD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06117 |
