| LCA CASE NUMBER | I-200-21089-184029 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-30 |
| DECISION DATE | 2021-04-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-01 |
| END DATE | 2024-04-30 |
| 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 | Putnam General Hospital |
| EMPLOYER ADDRESS1 | 101 Lake Oconee Pkwy. |
| EMPLOYER CITY | Eatonton |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31024 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17069232008 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Horton |
| EMPLOYER POC FIRST NAME | Alan |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 101 Lake Oconee Pkwy. |
| EMPLOYER POC CITY | Eatonton |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31024 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17069232008 |
| EMPLOYER POC EMAIL | rcabe@putnamgeneral.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sturman |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 16530 Ventura Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 412 |
| AGENT ATTORNEY CITY | Encino |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 31024 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17069232008 |
| AGENT ATTORNEY EMAIL ADDRESS | criona@davidsturman.com |
| LAWFIRM NAME BUSINESS NAME | David M Sturman, APC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 101 Lake Oconee Pkwy |
| LCA CASE WORKLOC1 CITY | Eatonton |
| WORKSITE COUNTY | PUTNAM |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31024 |
| LCA CASE WAGE RATE FROM | 25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.77 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
