| LCA CASE NUMBER | I-200-17128-132270 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/10/2017 |
| DECISION DATE | 5/16/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/19/2017 |
| EMPLOYMENT END DATE | 6/18/2020 |
| LCA CASE EMPLOYER NAME | GRIFFIN FACULTY PRACTICE PLAN, INC. |
| EMPLOYER ADDRESS | 130 DIVISION STREET |
| EMPLOYER CITY | DERBY |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06418 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2037321330 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | JOLIC, MICHAEL |
| AGENT ATTORNEY CITY | INDEPENDENCE |
| AGENT ATTORNEY STATE | OH |
| LCA CASE JOB TITLE | PRIMARY CARE PHYSICIAN AND AMBULATORY RESIDENCY DIRECTOR |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 6211 |
| 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 | 185,661.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 190,000.00 |
| 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 | ANSONIA |
| WORKSITE COUNTY | NEW HAVEN |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06401 |
