| LCA CASE NUMBER | I-200-20071-396742 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-11 |
| DECISION DATE | 2020-03-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1062 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-06-30 |
| END DATE | 2023-06-29 |
| 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 | Penobscot Community Health Care |
| EMPLOYER ADDRESS1 | 103 Maine Avenue |
| EMPLOYER CITY | Bangor |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 4401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12079929200 |
| EMPLOYER PHONE EXT | 1418.0 |
| NAICS CODE | 621999 |
| EMPLOYER POC LAST NAME | Sanders |
| EMPLOYER POC FIRST NAME | Megan |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | Chief Legal Officer & Chief of Human Resources |
| EMPLOYER POC ADDRESS1 | 103 Maine Avenue |
| EMPLOYER POC CITY | Bangor |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 4401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12079929200 |
| EMPLOYER POC PHONE EXT | 1418.0 |
| EMPLOYER POC EMAIL | msanders@pchc.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Murray |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 66 Pearl Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 311 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 04101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12076137331.0 |
| AGENT ATTORNEY EMAIL ADDRESS | michael@fordmurraylaw.com |
| LAWFIRM NAME BUSINESS NAME | FordMurray |
| STATE OF HIGHEST COURT | ME |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 735 Wilson Street |
| LCA CASE WORKLOC1 CITY | Brewer |
| WORKSITE COUNTY | BREWER CITY |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 4412 |
| LCA CASE WAGE RATE FROM | 240000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 228176.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | Murray |
| PREPARER FIRST NAME | Michael |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | FordMurray |
| PREPARER EMAIL | michael@fordmurraylaw.com |
