| LCA CASE NUMBER | I-200-16356-656485 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 12/21/2016 |
| DECISION DATE | 12/28/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2/6/2017 |
| EMPLOYMENT END DATE | 2/5/2020 |
| LCA CASE EMPLOYER NAME | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION |
| EMPLOYER ADDRESS | 2041 GOOSE LAKE ROAD |
| EMPLOYER CITY | SAUGET |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62206 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6183320953 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | NEWMAN, GEORGE |
| AGENT ATTORNEY CITY | ST. LOUIS |
| AGENT ATTORNEY STATE | MO |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 57,117.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 90,000.00 |
| LCA CASE WAGE RATE TO | 125,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | EFFINGHAM |
| WORKSITE COUNTY | EFFINGHAM |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62401 |
