| LCA CASE NUMBER | I-200-16333-547067 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 11/30/2016 |
| DECISION DATE | 12/6/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/12/2016 |
| EMPLOYMENT END DATE | 6/30/2019 |
| LCA CASE EMPLOYER NAME | ALTRU HEALTH SYSTEM |
| EMPLOYER ADDRESS | 1000 S. COLUMBIA ROAD |
| EMPLOYER CITY | GRAND FORKS |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7017806596 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | LEIBL, GEOFFREY |
| AGENT ATTORNEY CITY | SAN DIEGO |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | DERMATOLOGIST |
| SOC CODE | 29-1062 |
| SOC NAME | PHYSICIANS AND SURGEONS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 156,978.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 475,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | GRAND FORKS |
| WORKSITE COUNTY | GRAND FORKS |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58201 |
