| LCA CASE NUMBER | I-200-15287-063489 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 10/14/15 |
| DECISION DATE | 10/20/15 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/15/16 |
| EMPLOYMENT END DATE | 1/14/19 |
| LCA CASE EMPLOYER NAME | HOSPITAL ADMINISTRATIVE DISTRICT #4 |
| EMPLOYER ADDRESS | 897 WEST MAIN STREET |
| EMPLOYER CITY | DOVER-FOXCROFT |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 04426 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2075648401 |
| AGENT ATTORNEY NAME | ARCHER, JENNIFER |
| AGENT ATTORNEY CITY | PORTLAND |
| AGENT ATTORNEY STATE | ME |
| LCA CASE JOB TITLE | UROLOGIST |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 187,199.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | N/A |
| LCA CASE WAGE RATE FROM | 375,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | DOVER-FOXCROFT |
| WORKSITE COUNTY | PISCATAQUIS |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 04426 |
