| LCA CASE NUMBER | I-200-20111-499756 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-20 |
| DECISION DATE | 2020-04-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-30 |
| END DATE | 2023-08-30 |
| 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 | MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY, PLLC |
| EMPLOYER ADDRESS1 | 148 SKYVIEW DRIVE |
| EMPLOYER CITY | MOUNT STERLING |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 40353 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18594990717 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | BUTROS |
| EMPLOYER POC FIRST NAME | REZKELLA |
| EMPLOYER POC JOB TITLE | OWNER |
| EMPLOYER POC ADDRESS1 | 148 SKYVIEW DRIVE |
| EMPLOYER POC CITY | MOUNT STERLIING |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 40353 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18594990717 |
| EMPLOYER POC EMAIL | MEANSCLINIC@BELLSOUTH.NET |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PFAFF |
| AGENT ATTORNEY FIRST NAME | RYAN |
| AGENT ATTORNEY MIDDLE NAME | HENRY |
| AGENT ATTORNEY ADDRESS1 | 6103 HAMILTON MASON ROAD |
| AGENT ATTORNEY CITY | WEST CHESTER |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45069 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15137555453.0 |
| AGENT ATTORNEY EMAIL ADDRESS | RHP@ABDALLAHSPRING.COM |
| LAWFIRM NAME BUSINESS NAME | ABDALLAH AND SPRING LPA |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | OHIO SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 148 Skyview Drive |
| LCA CASE WORKLOC1 CITY | Mount Sterling |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 40353 |
| LCA CASE WAGE RATE FROM | 250000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Pfaff |
| PREPARER FIRST NAME | Ryan |
| PREPARER MIDDLE INITIAL | H |
| PREPARER BUSINESS NAME | Abdallah and Spring LPA |
| PREPARER EMAIL | rhp@abdallahspring.com |
