| LCA CASE NUMBER | I-200-20008-239485 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-08 |
| DECISION DATE | 2020-01-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-15 |
| END DATE | 2023-01-14 |
| TOTAL WORKER POSITIONS | 10 |
| NEW EMPLOYMENT | 4 |
| CONTINUED EMPLOYMENT | 3 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 3 |
| LCA CASE EMPLOYER NAME | Grandison Management, Inc. |
| EMPLOYER ADDRESS1 | 1413 38TH ST |
| EMPLOYER CITY | BROOKLYN |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11218 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17183366600 |
| NAICS CODE | 56131 |
| EMPLOYER POC LAST NAME | Trenk |
| EMPLOYER POC FIRST NAME | Yoel |
| EMPLOYER POC JOB TITLE | Legal Liason |
| EMPLOYER POC ADDRESS1 | 1413 38th Street |
| EMPLOYER POC CITY | Brooklyn |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11218 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17183366600 |
| EMPLOYER POC PHONE EXT | 4453.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 10.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Wellsville Manor Care Center |
| WORKSITE ADDRESS1 | 4192 A Bolivar Road |
| LCA CASE WORKLOC1 CITY | Wellsville |
| WORKSITE COUNTY | ALLEGANY |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14895 |
| LCA CASE WAGE RATE FROM | 23.95 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 23.95 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | SCHABES |
| PREPARER FIRST NAME | STEVEN |
| PREPARER BUSINESS NAME | Grandison Management |
| PREPARER EMAIL | [email protected] |
