| LCA CASE NUMBER | I-200-20115-515399 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-24 |
| DECISION DATE | 2020-05-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident Physician |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2021-06-30 |
| 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 | William Beaumont Hospital |
| EMPLOYER ADDRESS1 | 26901 Beaumont Boulevard |
| EMPLOYER CITY | Southfield |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48033 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19475221668 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Olsen |
| EMPLOYER POC FIRST NAME | Marianne |
| EMPLOYER POC MIDDLE NAME | Catherine |
| EMPLOYER POC JOB TITLE | Director, Human Resources, Physician Services |
| EMPLOYER POC ADDRESS1 | 26901 Beaumont Boulevard |
| EMPLOYER POC ADDRESS2 | Suite 2C/1103 |
| EMPLOYER POC CITY | Southfield |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48033 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19475221668 |
| EMPLOYER POC EMAIL | marianne.olsen@beaumont.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Sherman |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Ian |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 252133 |
| AGENT ATTORNEY CITY | West Bloomfield |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48325 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12488517575.0 |
| AGENT ATTORNEY EMAIL ADDRESS | greencards@aol.com |
| LAWFIRM NAME BUSINESS NAME | Sherman Immigration Lawyers, P.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3601 West Thirteen Mile Road |
| LCA CASE WORKLOC1 CITY | Royal Oak |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48073 |
| LCA CASE WAGE RATE FROM | 54777.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 48256.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
