| LCA CASE NUMBER | I-200-16175-909994 |
| STATUS | CERTIFIED-WITHDRAWN |
| LCA CASE SUBMIT | 6/29/2016 |
| DECISION DATE | 1/3/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/22/2016 |
| EMPLOYMENT END DATE | 8/21/2019 |
| LCA CASE EMPLOYER NAME | GOOD SAMARITAN HOSPITAL ASSOCIATION |
| EMPLOYER BUSINESS DBA | HEART OF AMERICA MEDICAL CENTER |
| EMPLOYER ADDRESS | 800 S MAIN AVE |
| EMPLOYER CITY | RUGBY |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58368 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 7017765235 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SWANSON, SUSAN |
| AGENT ATTORNEY CITY | GRAND FORKS |
| AGENT ATTORNEY STATE | ND |
| LCA CASE JOB TITLE | REGISTERED NURSE LEVEL I |
| SOC CODE | 29-1141 |
| SOC NAME | REGISTERED NURSES |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 20.35 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 22.45 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | RUGBY |
| WORKSITE COUNTY | NORTH DAKOTA |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58368 |
| ORIGINAL CERT DATE | 7/6/2016 |
