| LCA CASE NUMBER | I-200-21083-170198 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-24 |
| DECISION DATE | 2021-03-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-10 |
| END DATE | 2024-07-09 |
| 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 | Riggs Community Health Center |
| EMPLOYER ADDRESS1 | 2316 South Street |
| EMPLOYER CITY | Lafayette |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47904 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17654292765 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Mayoras |
| EMPLOYER POC FIRST NAME | Steven |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Director of HR |
| EMPLOYER POC ADDRESS 1 | 2316 South Street |
| EMPLOYER POC CITY | Lafayette |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47904 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17654292765 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PERLITSH |
| AGENT ATTORNEY FIRST NAME | STEPHEN |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 110 WEST 34TH STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 300 |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128403878 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF STEPHEN M. PERLITSH |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK STATE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2316 South Street |
| LCA CASE WORKLOC1 CITY | Lafayette |
| WORKSITE COUNTY | TIPPECANOE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47904 |
| LCA CASE WAGE RATE FROM | 100000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 99694 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Neumann |
| PREPARER FIRST NAME | Rochelle |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | [email protected] |
