| LCA CASE NUMBER | I-200-20258-822410 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-14 |
| DECISION DATE | 2020-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Regional UC Quality Assurance and PSA Coordinator |
| SOC CODE | 21-1093 |
| SOC TITLE | Social and Human Service Assistants |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-20 |
| END DATE | 2023-09-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Bethany Christian Services USA, LLC |
| EMPLOYER ADDRESS1 | 901 Eastern Ave. NE |
| EMPLOYER CITY | Grand Rapids |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16162547757 |
| NAICS CODE | 624110 |
| EMPLOYER POC LAST NAME | Ruiz |
| EMPLOYER POC FIRST NAME | Moraima |
| EMPLOYER POC JOB TITLE | Senior Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 901 Eastern Ave. NE |
| EMPLOYER POC CITY | Grand Rapids |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16162547757 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Burns |
| AGENT ATTORNEY FIRST NAME | Michelle |
| AGENT ATTORNEY MIDDLE NAME | Campbell |
| AGENT ATTORNEY ADDRESS1 | 5250 Corporate Drive |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48098 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12486434900.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fakhoury Global Immigration, USA PC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | Bethany Christian Services, 660 Burton St. SE |
| LCA CASE WORKLOC1 CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49507 |
| LCA CASE WAGE RATE FROM | 49979.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 33833.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Burns |
| PREPARER FIRST NAME | Michelle |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Fakhoury Global Immigration, USA PC |
| PREPARER EMAIL | [email protected] |
