| LCA CASE NUMBER | I-200-20014-252259 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-14 |
| DECISION DATE | 2020-01-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-27 |
| END DATE | 2023-06-26 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Blessing Corporate Services, Inc. (Parent of Blessing Hospital) |
| EMPLOYER ADDRESS1 | Broadway at 11th Street |
| EMPLOYER ADDRESS2 | P.O. Box 7005 |
| EMPLOYER CITY | Quincy |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62305 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12172238400 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Hodson |
| EMPLOYER POC FIRST NAME | Ginger |
| EMPLOYER POC JOB TITLE | Administrative Coordinator, Provider Recruitment |
| EMPLOYER POC ADDRESS1 | Broadway at 11th Street |
| EMPLOYER POC ADDRESS2 | P.O. Box 7005 |
| EMPLOYER POC CITY | Quincy |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62305 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12172238400 |
| EMPLOYER POC PHONE EXT | 4820.0 |
| EMPLOYER POC EMAIL | ginger.dieterichhodson@blessinghealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Lindt |
| AGENT ATTORNEY FIRST NAME | Marketa |
| AGENT ATTORNEY ADDRESS1 | One South Dearborn |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60603 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13128537000.0 |
| AGENT ATTORNEY EMAIL ADDRESS | mlindt@sidley.com |
| LAWFIRM NAME BUSINESS NAME | Sidley Austin LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 11th & Broadway |
| LCA CASE WORKLOC1 CITY | Quincy |
| WORKSITE COUNTY | ADAMS |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62301 |
| LCA CASE WAGE RATE FROM | 245000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 211349.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Ortigara |
| PREPARER FIRST NAME | Katherine |
| PREPARER MIDDLE INITIAL | V |
| PREPARER BUSINESS NAME | Sidley Austin LLP |
| PREPARER EMAIL | kortigara@sidley.com |
