| LCA CASE NUMBER | I-200-17321-201441 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/27/18 |
| DECISION DATE | 4/2/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/23/18 |
| EMPLOYMENT END DATE | 7/22/21 |
| LCA CASE EMPLOYER NAME | BELLIN MEMORIAL HOSPITAL, INC. |
| EMPLOYER ADDRESS | 744 S WEBSTER AVE |
| EMPLOYER CITY | GREEN BAY |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9204457246 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BRUNER, BRIAN |
| AGENT ATTORNEY CITY | MINNETONKA |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | HOSPITALIST (INTERNIST) |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| 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 | 35,526.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 215,000.00 |
| 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 | GREEN BAY |
| WORKSITE COUNTY | BROWN |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54301 |
