| LCA CASE NUMBER | I-200-16230-477725 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/17/16 |
| DECISION DATE | 8/23/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 11/10/16 |
| EMPLOYMENT END DATE | 11/9/19 |
| LCA CASE EMPLOYER NAME | CHOUTEAU COUNTY HOSPITAL DISTRICT |
| EMPLOYER ADDRESS | 1501 SAINT CHARLES STREET |
| EMPLOYER CITY | FORT BENTON |
| EMPLOYER STATE | MT |
| EMPLOYER POSTAL CODE | 59442 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4066226169 |
| AGENT ATTORNEY NAME | STOLKOWSKI, ELIZABETH |
| AGENT ATTORNEY CITY | SHAKER HEIGHTS |
| AGENT ATTORNEY STATE | OH |
| LCA CASE JOB TITLE | REGISTERED NURSE ADMINISTRATIVE ER AND MEDICARE |
| SOC CODE | 29-1111.00 |
| SOC NAME | REGISTERED NURSES |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 24.19 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 24.86 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | FORT BENTON |
| WORKSITE COUNTY | CHOUTEAU |
| LCA CASE WORKLOC1 STATE | MT |
| WORKSITE POSTAL CODE | 59442 |
