| LCA CASE NUMBER | I-200-20154-617974 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-01 |
| DECISION DATE | 2020-06-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-06-15 |
| END DATE | 2023-06-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Westmont Manor HRC LLC |
| EMPLOYER ADDRESS1 | 512 E. Ogden Ave. |
| EMPLOYER CITY | Westmont |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60559 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16303234400 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Noland |
| EMPLOYER POC FIRST NAME | Angela |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS1 | 512 E. Ogden Ave. |
| EMPLOYER POC CITY | Westmont |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60559 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16303234400 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Baltazar |
| AGENT ATTORNEY FIRST NAME | Marjorie |
| AGENT ATTORNEY ADDRESS1 | 1731 N. Marcey St. |
| AGENT ATTORNEY ADDRESS2 | Suite 525 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60614 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13128344340.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Baltazar Global LLC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 512 E. Ogden Ave. |
| LCA CASE WORKLOC1 CITY | Westmont |
| WORKSITE COUNTY | DUPAGE |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60559 |
| LCA CASE WAGE RATE FROM | 40.0 |
| LCA CASE WAGE RATE TO | 45.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 35.14 |
| PW UNIT OF PAY | Hour |
| 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 Employment |
| PREPARER LAST NAME | Baltazar |
| PREPARER FIRST NAME | Marjorie |
| PREPARER BUSINESS NAME | Baltazar Global LLC |
| PREPARER EMAIL | [email protected] |
