| LCA CASE NUMBER | I-200-19308-125661 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-04 |
| DECISION DATE | 2019-11-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-11-15 |
| END DATE | 2022-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | OSWEGO HOSPITAL |
| EMPLOYER ADDRESS1 | 110 WEST 6TH STREET |
| EMPLOYER CITY | OSWEGO |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13126 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +13153495818 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | HARLOVIC |
| EMPLOYER POC FIRST NAME | MICHAEL |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | PRESIDENT & CEO |
| EMPLOYER POC ADDRESS1 | 110 WEST 6TH STREET |
| EMPLOYER POC CITY | OSWEGO |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13126 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +13153495818 |
| EMPLOYER POC EMAIL | MHARLOVIC@OSWEGOHOSPITAL.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PREMO |
| AGENT ATTORNEY FIRST NAME | KSENIYA |
| AGENT ATTORNEY ADDRESS1 | ONE LINCOLN CENTER |
| AGENT ATTORNEY ADDRESS2 | 18TH FLOOR |
| AGENT ATTORNEY CITY | SYRACUSE |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 13202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13152188171.0 |
| AGENT ATTORNEY EMAIL ADDRESS | KPREMO@BSK.COM |
| LAWFIRM NAME BUSINESS NAME | BOND, SCHOENECK & KING, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK STATE SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 110 WEST 6TH STREET |
| LCA CASE WORKLOC1 CITY | OSWEGO |
| WORKSITE COUNTY | OSWEGO |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13126 |
| LCA CASE WAGE RATE FROM | 150.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 133.23 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | NOT APPLICABLE |
