| LCA CASE NUMBER | I-200-16043-207649 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/23/16 |
| DECISION DATE | 2/29/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/28/16 |
| EMPLOYMENT END DATE | 4/27/19 |
| LCA CASE EMPLOYER NAME | BANNER MEDICAL GROUP COLORADO |
| EMPLOYER ADDRESS | 7251 W. 4TH STREET |
| EMPLOYER CITY | GREELEY |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80634 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9705066556 |
| AGENT ATTORNEY NAME | MARTINEZ, MATTHEW |
| AGENT ATTORNEY CITY | PHOENIX |
| AGENT ATTORNEY STATE | AZ |
| LCA CASE JOB TITLE | PHYSICIAN- OB/GYN |
| SOC CODE | 29-1064 |
| SOC NAME | OBSTETRICIANS AND GYNECOLOGISTS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 108,722.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 240,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | GREELEY |
| WORKSITE COUNTY | WELD |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 80634 |
