| LCA CASE NUMBER | I-200-19346-195414 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-12 |
| DECISION DATE | 2019-12-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-02-03 |
| END DATE | 2023-02-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | KEOKUK COUNTY HEALTH CENTER |
| EMPLOYER ADDRESS1 | 23019 HIGHWAY 149 |
| EMPLOYER CITY | SIGOURNEY |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 52591 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16416221153 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | SELLERS |
| EMPLOYER POC FIRST NAME | ANNETTE |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES/PAYROLL PROFESSIONAL |
| EMPLOYER POC ADDRESS1 | 23019 HIGHWAY 149 |
| EMPLOYER POC CITY | SIGOURNEY |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 52591 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16416221153 |
| EMPLOYER POC EMAIL | ASELLERS@KCHC.NET |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PENICK |
| AGENT ATTORNEY FIRST NAME | BRIDGET |
| AGENT ATTORNEY MIDDLE NAME | RENE |
| AGENT ATTORNEY ADDRESS1 | 505 E. Grand Ave. |
| AGENT ATTORNEY ADDRESS2 | suite 200 |
| AGENT ATTORNEY CITY | DES MOINES |
| AGENT ATTORNEY STATE | IA |
| AGENT ATTORNEY POSTAL CODE | 50309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15152428902.0 |
| AGENT ATTORNEY EMAIL ADDRESS | BPENICK@FREDLAW.COM |
| LAWFIRM NAME BUSINESS NAME | FREDRIKSON & BYRON, P.A. |
| STATE OF HIGHEST COURT | IA |
| NAME OF HIGHEST STATE COURT | IOWA SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 23019 HIGHWAY 149 |
| LCA CASE WORKLOC1 CITY | SIGOURNEY |
| WORKSITE COUNTY | KEOKUK |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 52591 |
| LCA CASE WAGE RATE FROM | 23.0 |
| LCA CASE WAGE RATE TO | 24.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 16.48 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 Employment |
| PREPARER LAST NAME | PENICK |
| PREPARER FIRST NAME | BRIDGET |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | FREDRIKSON AND BYRON, PA |
| PREPARER EMAIL | BPENICK@FREDLAW.COM |
