| LCA CASE NUMBER | I-200-17064-302031 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/24/2017 |
| DECISION DATE | 3/30/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/7/2017 |
| EMPLOYMENT END DATE | 8/7/2020 |
| LCA CASE EMPLOYER NAME | CRUSADERS CENTRAL CLINIC ASSOCIATION |
| EMPLOYER BUSINESS DBA | CRUSADER COMMUNITY HEALTH |
| EMPLOYER ADDRESS | 1200 WEST STATE STREET |
| EMPLOYER CITY | ROCKFORD |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61102 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 8154901616 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | PEDERSON, JAN |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| LCA CASE JOB TITLE | PHYSICIAN/ FAMILY PRACTITIONER |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 62111 |
| 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 | 135,138.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 177,336.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | ROCKFORD |
| WORKSITE COUNTY | WINNEBAGO |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61102 |
