| LCA CASE NUMBER | I-200-20294-883421 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-20 |
| DECISION DATE | 2020-10-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Assistant |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-11-01 |
| END DATE | 2023-10-31 |
| 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 | First Choice Community Health Centers, Inc. |
| EMPLOYER ADDRESS1 | 40 Autumn Fern Trail |
| EMPLOYER CITY | Lillington |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27546 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19103640971 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Simmons |
| EMPLOYER POC FIRST NAME | Sheila |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 40 Autumn Fern Trail |
| EMPLOYER POC CITY | Lillington |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27546 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19103640971 |
| EMPLOYER POC PHONE EXT | 1600 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kelly |
| AGENT ATTORNEY FIRST NAME | Dayna |
| AGENT ATTORNEY MIDDLE NAME | Jo |
| AGENT ATTORNEY ADDRESS1 | 250 E. Winmore Ave |
| AGENT ATTORNEY CITY | Chapel Hill |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27516 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19199697200 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Dayna Kelly, PC |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 985 NC 87 South |
| LCA CASE WORKLOC1 CITY | Cameron |
| WORKSITE COUNTY | HARNETT |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 28326 |
| LCA CASE WAGE RATE FROM | 92685 |
| LCA CASE WAGE RATE TO | 124800 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 92685 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
