| LCA CASE NUMBER | I-200-22096-043008 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-06 |
| DECISION DATE | 2022-04-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Pharmacist |
| SOC CODE | 29-1051.00 |
| SOC TITLE | Pharmacists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| 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 | Black River Falls Clinic Pharmacy Inc |
| EMPLOYER ADDRESS1 | 610 W. Adams St. |
| EMPLOYER CITY | Black River Falls |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54615 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17152844089 |
| NAICS CODE | 446110 |
| EMPLOYER POC LAST NAME | Hagenbrock |
| EMPLOYER POC FIRST NAME | Barb |
| EMPLOYER POC JOB TITLE | Pharmacy Manager/Senior Pharmacist |
| EMPLOYER POC ADDRESS1 | 610 W. Adams St. |
| EMPLOYER POC CITY | Black River Falls |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54615 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17152844089 |
| EMPLOYER POC EMAIL | jbnnhagenbrock@charter.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | O'Leary |
| AGENT ATTORNEY FIRST NAME | Mary |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 134 W. Middle St. |
| AGENT ATTORNEY ADDRESS2 | Suite D |
| AGENT ATTORNEY CITY | Chelsea |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48118 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18474241300 |
| AGENT ATTORNEY EMAIL ADDRESS | mary@olearyimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Office Of Mary O'Leary |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 610 W. Adams St. |
| LCA CASE WORKLOC1 CITY | Black River Falls |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54615 |
| LCA CASE WAGE RATE FROM | 55.72 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 55.71 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 | O'Leary |
| PREPARER FIRST NAME | Mary |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Law Office of Mary O'Leary |
| PREPARER EMAIL | mary@olearyimmigrationlaw.com |