| LCA CASE NUMBER | I-200-20220-756972 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-07 |
| DECISION DATE | 2020-08-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ETL Data Developer III |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-03 |
| END DATE | 2023-09-02 |
| 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 | Pitt County Memorial Hospital Inc |
| TRADE NAME DBA | Vidant Medical Center |
| EMPLOYER ADDRESS1 | 2100 Stantonsburg Road |
| EMPLOYER CITY | Greenville |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27834 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12528474809 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Dixon |
| EMPLOYER POC FIRST NAME | Timothy |
| EMPLOYER POC JOB TITLE | Interim Manager - Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 2000 Venture Tower Drive |
| EMPLOYER POC ADDRESS2 | 2nd Floor |
| EMPLOYER POC CITY | Greenville |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27834 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12528472637 |
| EMPLOYER POC EMAIL | timothy.dixon@vidanthealth.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Prall |
| AGENT ATTORNEY FIRST NAME | Nicola |
| AGENT ATTORNEY MIDDLE NAME | A.L. |
| 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 | 6467.0 |
| AGENT ATTORNEY EMAIL ADDRESS | NICOLA.PRALL@JACKSONLEWIS.COM |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | NC |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2190 Beasley Road |
| LCA CASE WORKLOC1 CITY | Greenville |
| WORKSITE COUNTY | PITT |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27834 |
| LCA CASE WAGE RATE FROM | 101816.0 |
| LCA CASE WAGE RATE UNIT | Month |
| PREVAILING WAGE | 89835.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Prall |
| PREPARER FIRST NAME | Nicola |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | allison.wimbley@jacksonlewis.com |
