| LCA CASE NUMBER | I-200-20314-905240 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-11-09 |
| DECISION DATE | 2020-11-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Assistant |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-27 |
| END DATE | 2024-02-26 |
| 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 | Kaleida Health |
| EMPLOYER ADDRESS1 | 726 Exchange Street |
| EMPLOYER ADDRESS2 | Suite 270 |
| EMPLOYER CITY | Buffalo |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14210 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17168598057 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Becker |
| EMPLOYER POC FIRST NAME | Danielle |
| EMPLOYER POC JOB TITLE | Staff Attorney |
| EMPLOYER POC ADDRESS 1 | 726 Exchange Street |
| EMPLOYER POC ADDRESS 2 | Suite 270 |
| EMPLOYER POC CITY | Buffalo |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14210 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17168598057 |
| EMPLOYER POC EMAIL | dbecker@kaleidahealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sobieski |
| AGENT ATTORNEY FIRST NAME | Lee |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 5530 Sheridan drive |
| AGENT ATTORNEY ADDRESS2 | suite 1 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | New York |
| AGENT ATTORNEY PHONE | 17166346500 |
| AGENT ATTORNEY EMAIL ADDRESS | lsobieski@usavisa.net |
| LAWFIRM NAME BUSINESS NAME | Berger Berger & Sobieski |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division, Fourth Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Buffalo General Medical Center |
| WORKSITE ADDRESS2 | 100 High Street |
| LCA CASE WORKLOC1 CITY | Buffalo |
| WORKSITE COUNTY | ERIE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14203 |
| LCA CASE WAGE RATE FROM | 119662 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 106059 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sobieski |
| PREPARER FIRST NAME | Lee |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Berger Berger and Sobieski |
| PREPARER EMAIL | lsobieski@usavisa.net |
