| LCA CASE NUMBER | I-200-16187-629479 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 7/6/16 |
| DECISION DATE | 7/12/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/1/16 |
| EMPLOYMENT END DATE | 7/31/19 |
| LCA CASE EMPLOYER NAME | THIRD STREET COMMUNITY CLINIC, INC. |
| EMPLOYER ADDRESS | 600 WEST THIRD STREET |
| EMPLOYER CITY | MANSFIELD |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44906 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4195226191 |
| AGENT ATTORNEY NAME | JOLIC, MICHAEL |
| AGENT ATTORNEY CITY | INDEPENDENCE |
| AGENT ATTORNEY STATE | OH |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAIC CODE | 6211 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 105,082.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 190,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | MANSFIELD |
| WORKSITE COUNTY | RICHLAND |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44906 |
