| LCA CASE NUMBER | I-200-17046-689453 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/15/2017 |
| DECISION DATE | 2/22/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/17/2017 |
| EMPLOYMENT END DATE | 6/25/2017 |
| LCA CASE EMPLOYER NAME | THE MARY IMOGENE BASSETT HOSPITAL |
| EMPLOYER BUSINESS DBA | BASSETT HEALTHCARE |
| EMPLOYER ADDRESS | ONE ATWELL ROAD |
| EMPLOYER CITY | COOPERSTOWN |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13326 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6075476522 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | GERROL, JASON |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| LCA CASE JOB TITLE | MEDICAL RESIDENT |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 62,766.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | N/A |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | AAMC SURVEY OF RESIDENT/FELLOW STIPENDS AND BENEFITS |
| LCA CASE WAGE RATE FROM | 64,200.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | COOPERSTOWN |
| WORKSITE COUNTY | OTSEGO |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13326 |
