| LCA CASE NUMBER | I-200-20050-335537 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-19 |
| DECISION DATE | 2020-02-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-09 |
| END DATE | 2023-08-08 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Morrill County Community Hospital |
| EMPLOYER ADDRESS1 | 1313 S Street |
| EMPLOYER CITY | Bridgeport |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 69336 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13082621616 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Basa |
| EMPLOYER POC FIRST NAME | Rhea |
| EMPLOYER POC MIDDLE NAME | F |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 1313 S Street |
| EMPLOYER POC CITY | Bridgeport |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 69336 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13082621616 |
| EMPLOYER POC EMAIL | Basar@morrillcountyhospital.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Perez |
| AGENT ATTORNEY FIRST NAME | Cynthia |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 4221 Wilshire Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 394 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13232030922.0 |
| AGENT ATTORNEY EMAIL ADDRESS | Cynthia.Perez@hammondlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Hammond Law Group LLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1313 S Street |
| LCA CASE WORKLOC1 CITY | Bridgeport |
| WORKSITE COUNTY | MORRILL |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 69336 |
| LCA CASE WAGE RATE FROM | 18.63 |
| LCA CASE WAGE RATE TO | 22.81 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 18.63 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
