| LCA CASE NUMBER | I-200-17212-158932 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 9/27/17 |
| DECISION DATE | 10/3/17 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/15/17 |
| EMPLOYMENT END DATE | 10/14/20 |
| LCA CASE EMPLOYER NAME | ST. MARY'S HOSPITAL INC. |
| EMPLOYER ADDRESS | 701 LEWISTON STREET |
| EMPLOYER CITY | COTTONWOOD |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83522 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2089262318 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | ILAGAN, GARY |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| LCA CASE JOB TITLE | OCCUPATIONAL THERAPIST |
| SOC CODE | 29-1122 |
| SOC NAME | OCCUPATIONAL THERAPISTS |
| NAICS CODE | 62211 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 74,402.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 74,880.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | COTTONWOOD |
| WORKSITE COUNTY | IDAHO |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83522 |
