| LCA CASE NUMBER | I-200-20329-926707 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-11-24 |
| DECISION DATE | 2020-12-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | LABORATORY MANAGER |
| SOC CODE | 19-2031.00 |
| SOC TITLE | Chemists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-08 |
| END DATE | 2024-01-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | STAMFORD HEALTH INC. |
| TRADE NAME DBA | THE STAMFORD HOSPITAL |
| EMPLOYER ADDRESS1 | ONE HOSPITAL PLAZA |
| EMPLOYER CITY | STAMFORD |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6904 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12032761000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | GIBSON |
| EMPLOYER POC FIRST NAME | ADRIENNE |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES PARTNER |
| EMPLOYER POC ADDRESS 1 | ONE HOSPITAL PLAZA |
| EMPLOYER POC CITY | STAMFORD |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06904 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12032767310 |
| EMPLOYER POC EMAIL | AGIBSON1@STAMHEALTH.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | MANNING |
| AGENT ATTORNEY FIRST NAME | WILLIAM |
| AGENT ATTORNEY ADDRESS1 | 44 SOUTH BROADWAY |
| AGENT ATTORNEY ADDRESS2 | 14TH FLOOR |
| AGENT ATTORNEY CITY | WHITE PLAINS |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726891 |
| AGENT ATTORNEY EMAIL ADDRESS | WILLIAM.MANNING@JACKSONLEWIS.COM |
| LAWFIRM NAME BUSINESS NAME | JACKSON LEWIS PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | ONE HOSPITAL PLAZA |
| LCA CASE WORKLOC1 CITY | STAMFORD |
| WORKSITE COUNTY | FAIRFIELD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6904 |
| LCA CASE WAGE RATE FROM | 111910.5 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 105726 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | IYER |
| PREPARER FIRST NAME | SUNITA |
| PREPARER BUSINESS NAME | JACKSON LEWIS PC |
| PREPARER EMAIL | SUNITA.IYER@JACKSONLEWIS.COM |
