| LCA CASE NUMBER | I-200-20127-547462 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-06 |
| DECISION DATE | 2020-05-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-05-22 |
| END DATE | 2023-05-22 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Hannibal Regional Healthcare System, Inc. |
| EMPLOYER ADDRESS1 | 6500 Hospital Drive |
| EMPLOYER CITY | Hannibal |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 63401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15734061606 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Wathen |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC MIDDLE NAME | R. |
| EMPLOYER POC JOB TITLE | VP, Human Resources |
| EMPLOYER POC ADDRESS1 | 6500 Hospital Drive |
| EMPLOYER POC CITY | Hannibal |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15734061606 |
| EMPLOYER POC EMAIL | susan.wathen@hrhonline.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Webber |
| AGENT ATTORNEY FIRST NAME | Robert |
| AGENT ATTORNEY ADDRESS1 | 50 South Sixth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124926715.0 |
| AGENT ATTORNEY EMAIL ADDRESS | webber.robert@dorsey.com |
| LAWFIRM NAME BUSINESS NAME | Dorsey & Whitney LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Minnesota |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 6500 Hospital Drive |
| LCA CASE WORKLOC1 CITY | Hannibal |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 63401 |
| LCA CASE WAGE RATE FROM | 21.72 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 21.72 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bukacek |
| PREPARER FIRST NAME | Erin |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Dorsey & Whitney, LLP |
| PREPARER EMAIL | bukacek.erin@dorsey.com |
