| LCA CASE NUMBER | I-200-20267-841205 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-23 |
| DECISION DATE | 2020-09-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-11-15 |
| END DATE | 2023-11-14 |
| 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 | Surgical Associates, P.A. |
| EMPLOYER ADDRESS1 | 200 Banning Street |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Dover |
| EMPLOYER STATE | DE |
| EMPLOYER POSTAL CODE | 19904 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13026740600 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Mullaney |
| EMPLOYER POC FIRST NAME | Norene |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS1 | 200 Banning Street |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Dover |
| EMPLOYER POC STATE | DE |
| EMPLOYER POC POSTAL CODE | 19904 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13026740600 |
| EMPLOYER POC EMAIL | rmullaney@desapa.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Pollins |
| AGENT ATTORNEY FIRST NAME | Karen |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 380 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158853600.0 |
| AGENT ATTORNEY EMAIL ADDRESS | karen@goldblumfirm.com |
| LAWFIRM NAME BUSINESS NAME | Goldblum and Pollins, PC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 200 Banning Street |
| LCA CASE WORKLOC1 CITY | Dover |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | DE |
| WORKSITE POSTAL CODE | 19904 |
| LCA CASE WAGE RATE FROM | 208000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pollins |
| PREPARER FIRST NAME | Karen |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Goldblum & Pollins |
| PREPARER EMAIL | karen@goldblumfirm.com |
