| LCA CASE NUMBER | I-200-17153-162774 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/2/2017 |
| DECISION DATE | 6/8/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/10/2017 |
| EMPLOYMENT END DATE | 7/9/2020 |
| LCA CASE EMPLOYER NAME | FULTON STATE HOSPITAL |
| EMPLOYER ADDRESS | 600 EAST 5TH STREET |
| EMPLOYER CITY | FULTON |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65251 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5735924100 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SANDLER, BRADLEY |
| AGENT ATTORNEY CITY | ST. LOUIS |
| AGENT ATTORNEY STATE | MO |
| LCA CASE JOB TITLE | CLINICAL SOCIAL WORKER |
| SOC CODE | 21-1022 |
| SOC NAME | HEALTHCARE SOCIAL WORKERS |
| NAICS CODE | 621112 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 29,952.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 30,000.00 |
| LCA CASE WAGE RATE TO | 37,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | FULTON |
| WORKSITE COUNTY | CALLAWAY |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65251 |
