| LCA CASE NUMBER | I-200-22230-424843 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-18 |
| DECISION DATE | 2022-08-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Recovery Surgeon/Assistant Medical Director |
| SOC CODE | 29-1249.00 |
| SOC TITLE | Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-01 |
| END DATE | 2025-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Kentucky Organ Donor Affiliates Inc. |
| EMPLOYER ADDRESS1 | 1031 Linn Station Road |
| EMPLOYER CITY | Louisville |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 40223 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15025819511 |
| NAICS CODE | 621991 |
| EMPLOYER POC LAST NAME | Bergin |
| EMPLOYER POC FIRST NAME | Julie |
| EMPLOYER POC JOB TITLE | President and CEO |
| EMPLOYER POC ADDRESS1 | 10301 Linn Station Road |
| EMPLOYER POC CITY | Louisville |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 40223 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15024891152 |
| EMPLOYER POC EMAIL | j.bergin@kodaorgan.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Arroyo |
| AGENT ATTORNEY FIRST NAME | L. Mabel |
| AGENT ATTORNEY ADDRESS1 | 1600 West End Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 2000 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37203 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16157267387 |
| AGENT ATTORNEY EMAIL ADDRESS | marroyo@bakerdonelson.com |
| LAWFIRM NAME BUSINESS NAME | Baker, Donelson, Bearman, Caldwell, Berkowitz, PC |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10301 Linn Station Road |
| LCA CASE WORKLOC1 CITY | Louisville |
| WORKSITE COUNTY | JEFFERSON |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 40223 |
| LCA CASE WAGE RATE FROM | 260000 |
| LCA CASE WAGE RATE TO | 375000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 118768 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Davis |
| PREPARER FIRST NAME | Shannon |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Baker, Donelson, Bearman, Caldwell & Berkowitz, PC |
| PREPARER EMAIL | smdavis@bakerdonelson.com |
