| LCA CASE NUMBER | I-200-19350-200270 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-16 |
| DECISION DATE | 2019-12-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1069.03 |
| SOC TITLE | HOSPITALISTS |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-02-01 |
| END DATE | 2023-01-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. |
| EMPLOYER ADDRESS1 | 655 AFRICA ROAD |
| EMPLOYER CITY | WESTERVILLE |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43082 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16148658011 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | WULF |
| EMPLOYER POC FIRST NAME | J. WILLIAM |
| EMPLOYER POC JOB TITLE | C.E.O. |
| EMPLOYER POC ADDRESS1 | 655 AFRICA ROAD |
| EMPLOYER POC CITY | WESTERVILLE |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43082 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16148658011 |
| EMPLOYER POC EMAIL | BWULF@COPCP.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hoyt |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | Wayne |
| AGENT ATTORNEY ADDRESS1 | 200 Civic Center Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 1200 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16144622650.0 |
| AGENT ATTORNEY EMAIL ADDRESS | mhoyt@bakerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Baker & Hostetler LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | OHIOHEALTH RIVERSIDE METHODIST HOSPITAL |
| WORKSITE ADDRESS1 | 3555 OLENTANGY RIVER ROAD |
| WORKSITE ADDRESS2 | SUITE 1080 |
| LCA CASE WORKLOC1 CITY | COLUMBUS |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43214 |
| LCA CASE WAGE RATE FROM | 120.0 |
| LCA CASE WAGE RATE TO | 135.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 42.71 |
| 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 Business |