| LCA CASE NUMBER | I-200-19284-083642 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-11 |
| DECISION DATE | 2019-10-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-01 |
| END DATE | 2022-11-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Missouri Baptist Sullivan Hospital |
| EMPLOYER ADDRESS1 | 751 Sappington Bridge Rd |
| EMPLOYER CITY | Sullivan |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 63080 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +15734684186 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Reed |
| EMPLOYER POC FIRST NAME | Kathleen |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 1101 West Liberty Street |
| EMPLOYER POC CITY | Farmington |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63640 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +15737608175 |
| EMPLOYER POC EMAIL | Kathleen.reed@bjc.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Bell |
| AGENT ATTORNEY FIRST NAME | Jeffrey |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 900 West 48th Place |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Kansas City |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 64112 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MO |
| AGENT ATTORNEY PHONE | 18163604264.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jbell@polsinelli.com |
| LAWFIRM NAME BUSINESS NAME | Polsinelli |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 751 Sappington Bridge Rd. |
| LCA CASE WORKLOC1 CITY | Sullivan |
| WORKSITE COUNTY | CRAWFORD |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 63080 |
| LCA CASE WAGE RATE FROM | 22.0 |
| LCA CASE WAGE RATE TO | 30.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.17 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bell |
| PREPARER FIRST NAME | Kathy |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Polsinelli PC |
| PREPARER EMAIL | kbell@polsinelli.com |
