| LCA CASE NUMBER | I-200-17151-300797 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/2/2017 |
| DECISION DATE | 6/8/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/1/2017 |
| EMPLOYMENT END DATE | 11/30/2020 |
| LCA CASE EMPLOYER NAME | JERSEY SHORE HOSPITAL FOUNDATION, INC. |
| EMPLOYER ADDRESS | 1020 THOMPSON STREET |
| EMPLOYER CITY | JERSEY SHORE |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17740-1729 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5703980100 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | ARCHER, JENNIFER |
| AGENT ATTORNEY CITY | PORTLAND |
| AGENT ATTORNEY STATE | ME |
| LCA CASE JOB TITLE | FAMILY PRACTICE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 62111 |
| 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 | 73,986.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 180,000.00 |
| 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 | JERSEY SHORE |
| WORKSITE COUNTY | LYCOMING |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17740 |
