| LCA CASE NUMBER | I-200-21113-252942 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-23 |
| DECISION DATE | 2021-04-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-19 |
| END DATE | 2023-05-19 |
| 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 | Glenn Medical Center, INc |
| EMPLOYER ADDRESS1 | 1133 W Sycamore Street |
| EMPLOYER CITY | Willows |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95988 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15308443194 |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Becky |
| EMPLOYER POC JOB TITLE | Laboratory Manager |
| EMPLOYER POC ADDRESS 1 | 1133 W Sycamore Street |
| EMPLOYER POC CITY | Willows |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95988 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15308443194 |
| EMPLOYER POC EMAIL | BStrand@glennmed.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SCHRADER ESQ |
| AGENT ATTORNEY FIRST NAME | ROBERT |
| AGENT ATTORNEY MIDDLE NAME | GEORGE |
| AGENT ATTORNEY ADDRESS1 | PO BOX 397 |
| AGENT ATTORNEY CITY | NORTH CONWAY |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 3860 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16036626225 |
| AGENT ATTORNEY EMAIL ADDRESS | bob.schrader.esq@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Creative Commercial Solutions Incorporated |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1133 W Sycamore Street |
| LCA CASE WORKLOC1 CITY | Willows |
| WORKSITE COUNTY | GLENN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95988 |
| LCA CASE WAGE RATE FROM | 51 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 27.12 |
| 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 |
| PREPARER LAST NAME | Schrader |
| PREPARER FIRST NAME | ROBERT |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Creative Commercial Solutions, Inc. |
| PREPARER EMAIL | bob.schrader.esq@gmail.com |
