| LCA CASE NUMBER | I-200-19353-209208 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-19 |
| DECISION DATE | 2019-12-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-01-01 |
| END DATE | 2022-12-31 |
| 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 | Bon Secours Medical Group Richmond Primary Care LLC |
| EMPLOYER ADDRESS1 | 5875 Bremo Road |
| EMPLOYER ADDRESS2 | Suite 710(B) |
| EMPLOYER CITY | Richmond |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +18047467694 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Paladino |
| EMPLOYER POC FIRST NAME | Lindsay |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | Assistant General Counsel |
| EMPLOYER POC ADDRESS1 | 5875 Bremo Road |
| EMPLOYER POC ADDRESS2 | Suite 710 |
| EMPLOYER POC CITY | Richmond |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +18042877694 |
| EMPLOYER POC EMAIL | lindsay_paladino@bshsi.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Jenkins |
| AGENT ATTORNEY FIRST NAME | Staci |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 312 Walnut Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1400 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133526734.0 |
| AGENT ATTORNEY EMAIL ADDRESS | staci.jenkins@thompsonhine.com |
| LAWFIRM NAME BUSINESS NAME | Thompson Hine LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 7401 Lee Park Road |
| LCA CASE WORKLOC1 CITY | Mechanicsville |
| WORKSITE COUNTY | HANOVER |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23111 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE TO | 105.76 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Perichon |
| PREPARER FIRST NAME | Rosemary |
| PREPARER BUSINESS NAME | Thompson Hine LLP |
| PREPARER EMAIL | rosemary.perichon@thompsonhine.com |
