| LCA CASE NUMBER | I-200-17034-487340 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/3/2017 |
| DECISION DATE | 2/9/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2/10/2017 |
| EMPLOYMENT END DATE | 2/10/2020 |
| LCA CASE EMPLOYER NAME | COMMUNITY CLINIC OF MAUI, INC. |
| EMPLOYER ADDRESS | 1881 NANI STREET |
| EMPLOYER CITY | WAILUKU |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96793 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8088717772 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | CHU, NEWTON |
| AGENT ATTORNEY CITY | HILO |
| AGENT ATTORNEY STATE | HI |
| LCA CASE JOB TITLE | CHIEF MEDICAL OFFICER |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAICS CODE | 621498 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 168,542.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 205,000.00 |
| LCA CASE WAGE RATE TO | 230,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | WAILUKU |
| WORKSITE COUNTY | HAWAII |
| LCA CASE WORKLOC1 STATE | HI |
| WORKSITE POSTAL CODE | 96793 |
