| LCA CASE NUMBER | I-200-20021-266821 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-01-21 |
| DECISION DATE | 2021-01-07 |
| ORIGINAL CERT DATE | 2020-01-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MEDICAL LABORATORY TECHNOLOGIST |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-02-10 |
| END DATE | 2023-02-09 |
| 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 | HILLSBORO AREA HOSPITAL |
| EMPLOYER ADDRESS1 | 1200 EAST TREMONT STREET |
| EMPLOYER CITY | HILLSBORO |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62049 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12175326111 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | BROWN |
| EMPLOYER POC FIRST NAME | REX |
| EMPLOYER POC MIDDLE NAME | H. |
| EMPLOYER POC JOB TITLE | PRESIDENT & CEO |
| EMPLOYER POC ADDRESS 1 | 1200 EAST TREMONT STREET |
| EMPLOYER POC CITY | HILLSBORO |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62049 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12175326111 |
| EMPLOYER POC EMAIL | katieduncan@hillsboroareahospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | WALKER |
| AGENT ATTORNEY FIRST NAME | BARRY |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | P O BOX 1023 |
| AGENT ATTORNEY CITY | TUPELO |
| AGENT ATTORNEY STATE | MS |
| AGENT ATTORNEY POSTAL CODE | 38802 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16628410629 |
| AGENT ATTORNEY EMAIL ADDRESS | danane@walkerungo.com |
| LAWFIRM NAME BUSINESS NAME | BARRY J WALKER ATTY P A |
| STATE OF HIGHEST COURT | MS |
| NAME OF HIGHEST STATE COURT | STATE SUPREME COURT OF MISSISSIPPI |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1200 EAST TREMONT STREET |
| LCA CASE WORKLOC1 CITY | HILLSBORO |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62049 |
| LCA CASE WAGE RATE FROM | 25.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 17.49 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | WALKER |
| PREPARER FIRST NAME | BARRY |
| PREPARER MIDDLE INITIAL | J. |
| PREPARER BUSINESS NAME | BARRY J WALKER ATTY P A |
| PREPARER EMAIL | danane@walkerungo.com |
