| LCA CASE NUMBER | I-200-17096-884660 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/10/2017 |
| DECISION DATE | 4/14/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/28/2017 |
| EMPLOYMENT END DATE | 7/28/2020 |
| LCA CASE EMPLOYER NAME | BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC. |
| EMPLOYER ADDRESS | 240 MAIN STREET |
| EMPLOYER CITY | BRISTOL |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8605853469 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | PEDERSON, JAN |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| LCA CASE JOB TITLE | GENERAL PSYCHIATRIST |
| SOC CODE | 29-1066 |
| SOC NAME | PSYCHIATRISTS |
| NAICS CODE | 621112 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 109,242.00 |
| 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 | 200,000.00 |
| 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 | BRISTOL |
| WORKSITE COUNTY | HARTFORD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06010 |
