| LCA CASE NUMBER | I-200-20111-500893 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-20 |
| DECISION DATE | 2020-04-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Director of Social Services |
| SOC CODE | 21-1022.00 |
| SOC TITLE | Healthcare Social Workers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-13 |
| END DATE | 2023-09-13 |
| 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 | HMG Park Manor of Westchase, LLC |
| EMPLOYER ADDRESS1 | 11910 Richmond Ave |
| EMPLOYER CITY | Houston |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77082 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12814972838 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Boisseau |
| EMPLOYER POC FIRST NAME | Kevin |
| EMPLOYER POC JOB TITLE | Facility Administrator |
| EMPLOYER POC ADDRESS1 | 11910 Richmond Ave |
| EMPLOYER POC CITY | Houston |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77082 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12814972838 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Guymon |
| AGENT ATTORNEY FIRST NAME | Bryan |
| AGENT ATTORNEY MIDDLE NAME | Jacob |
| AGENT ATTORNEY ADDRESS1 | 120 W Kingsmill |
| AGENT ATTORNEY ADDRESS2 | Suite 505 |
| AGENT ATTORNEY CITY | Pampa |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 79065 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18066696851.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Underwood Law Firm, P.C. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 11910 Richmond Ave |
| LCA CASE WORKLOC1 CITY | Houston |
| WORKSITE COUNTY | HARRIS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77082 |
| LCA CASE WAGE RATE FROM | 65999.0 |
| LCA CASE WAGE RATE TO | 66000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 59405.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Guymon |
| PREPARER FIRST NAME | Bryan |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Underwood Law Firm, P.C. |
| PREPARER EMAIL | [email protected] |
