| LCA CASE NUMBER | I-200-20188-696330 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-06 |
| DECISION DATE | 2020-07-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Obstetrician and Gynecologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-03 |
| END DATE | 2023-08-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Cornerstone Family Healthcare |
| EMPLOYER ADDRESS1 | 2570 Route 9W |
| EMPLOYER ADDRESS2 | Suite 10 |
| EMPLOYER CITY | Cornwall |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12518 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18452203172 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Jolly |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 2570 Route 9W |
| EMPLOYER POC ADDRESS2 | Suite 10 |
| EMPLOYER POC CITY | Cornwall |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 12518 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18452203165 |
| EMPLOYER POC EMAIL | djolly@cornerstonefh.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | READ IV |
| AGENT ATTORNEY FIRST NAME | FORREST |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | 3737 GLENWOOD AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 450 |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | NORTH CAROLINA |
| AGENT ATTORNEY PHONE | 19197606460.0 |
| AGENT ATTORNEY PHONE EXT | 6468.0 |
| AGENT ATTORNEY EMAIL ADDRESS | FORREST.READ@JACKSONLEWIS.COM |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court of NC |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 147 Lake Street |
| LCA CASE WORKLOC1 CITY | Newburgh |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12550 |
| LCA CASE WAGE RATE FROM | 240000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 183102.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Read IV |
| PREPARER FIRST NAME | Forrest |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Jackson Lewis, P.C. |
| PREPARER EMAIL | robert.karol@jacksonlewis.com |
