| LCA CASE NUMBER | I-200-20197-716624 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-15 |
| DECISION DATE | 2020-07-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Bariatric Surgeon) |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-23 |
| END DATE | 2023-07-22 |
| 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 | Summit Medical Group |
| TRADE NAME DBA | St. Elizabeth Physicians |
| EMPLOYER ADDRESS1 | 1360 Dolwick Drive |
| EMPLOYER ADDRESS2 | Suite 105A |
| EMPLOYER CITY | Erlanger |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 41018 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18596557058 |
| NAICS CODE | 622310 |
| EMPLOYER POC LAST NAME | Bast |
| EMPLOYER POC FIRST NAME | Jacob |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 1360 Dolwick Drive |
| EMPLOYER POC ADDRESS2 | Suite 105A |
| EMPLOYER POC CITY | Erlanger |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 41018 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18596557058 |
| EMPLOYER POC EMAIL | cathy.drennen@stelizabeth.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Neal |
| AGENT ATTORNEY FIRST NAME | Sherry |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 441 Vine Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3200 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133812011.0 |
| AGENT ATTORNEY EMAIL ADDRESS | sln@hammondlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4900 Houston Road |
| LCA CASE WORKLOC1 CITY | Florence |
| WORKSITE COUNTY | BOONE |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 41041 |
| LCA CASE WAGE RATE FROM | 400000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Neal |
| PREPARER FIRST NAME | Sherry |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Hammond Neal Moore, LLC |
| PREPARER EMAIL | sln@hammondlawgroup.com |
