| LCA CASE NUMBER | I-200-22040-888949 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-02-09 |
| DECISION DATE | 2022-02-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Supervisor for Externship and Clinical Experience |
| SOC CODE | 11-9039.00 |
| SOC TITLE | Education Administrators, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-03-01 |
| END DATE | 2025-02-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Masgutova Foundation |
| EMPLOYER ADDRESS1 | 5323 Millenia Lakes Blvd. |
| EMPLOYER ADDRESS2 | Suite 314 |
| EMPLOYER CITY | Orlando |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32839 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13527450824 |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Shackleford |
| EMPLOYER POC FIRST NAME | Patricia |
| EMPLOYER POC JOB TITLE | Interim President MGS |
| EMPLOYER POC ADDRESS1 | 5323 Millenia Lakes Boulevard |
| EMPLOYER POC ADDRESS2 | Suite 314 |
| EMPLOYER POC CITY | Orlando |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32839 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13527450824 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | THOMPSON |
| AGENT ATTORNEY FIRST NAME | MATTHEW |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | 5444 WESTHEIMER ROAD |
| AGENT ATTORNEY ADDRESS2 | SUITE 1700 |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77056 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17136259200 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | QUAN LAW GROUP, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF TEXAS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5323 Millenia Lakes Blvd. |
| WORKSITE ADDRESS2 | Suite 314 |
| LCA CASE WORKLOC1 CITY | Orlando |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32839 |
| LCA CASE WAGE RATE FROM | 28.49 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 28.49 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Lewis |
| PREPARER FIRST NAME | Karla |
| PREPARER MIDDLE INITIAL | K. |
| PREPARER BUSINESS NAME | Quan Law Group |
| PREPARER EMAIL | [email protected] |
