| LCA CASE NUMBER | I-200-23165-109095 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-14 |
| DECISION DATE | 2023-06-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| 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 | Fulton County Health Center |
| TRADE NAME DBA | FCHC Medical Care, LLC |
| EMPLOYER ADDRESS1 | 725 South Shoop Avenue |
| EMPLOYER CITY | Wauseon |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43567 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14193302601 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Finn |
| EMPLOYER POC FIRST NAME | Patricia |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 725 South Shoop Avenue |
| EMPLOYER POC CITY | Wauseon |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43567 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14193302601 |
| EMPLOYER POC EMAIL | pfinn@fulhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kole |
| AGENT ATTORNEY FIRST NAME | Haley |
| AGENT ATTORNEY MIDDLE NAME | Danielle |
| AGENT ATTORNEY ADDRESS1 | 101 E. Kennedy Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 2800 |
| AGENT ATTORNEY CITY | Tampa |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Florida |
| AGENT ATTORNEY PHONE | 18136767254 |
| AGENT ATTORNEY EMAIL ADDRESS | hkole@shumaker.com |
| LAWFIRM NAME BUSINESS NAME | Shumaker, Loop & Kendrick, LLP |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 725 South Shoop Avenue |
| WORKSITE ADDRESS2 | Suite 204 |
| LCA CASE WORKLOC1 CITY | Wauseon |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43567 |
| LCA CASE WAGE RATE FROM | 199368 |
| LCA CASE WAGE RATE TO | 233750 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 199368 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kole |
| PREPARER FIRST NAME | Haley |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Shumaker, Loop & Kendrick, LLP |
| PREPARER EMAIL | hkole@shumaker.com |
