| LCA CASE NUMBER | I-200-20112-504338 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-21 |
| DECISION DATE | 2020-04-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Interventional Cardiologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-01 |
| END DATE | 2023-08-31 |
| 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 | Aultman Deuble Heart & Vascular Hospital, LLC |
| EMPLOYER ADDRESS1 | 2600 6th Street SW |
| EMPLOYER CITY | Canton |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44710 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13303632496 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Evans |
| EMPLOYER POC FIRST NAME | Tiffany |
| EMPLOYER POC JOB TITLE | Director, Physician Recruitment and Relations |
| EMPLOYER POC ADDRESS1 | 2600 6th Street SW |
| EMPLOYER POC CITY | Canton |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44710 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13303632496 |
| EMPLOYER POC EMAIL | tiffany.evans@aultman.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Seltzer |
| AGENT ATTORNEY FIRST NAME | Suzanne |
| AGENT ATTORNEY MIDDLE NAME | B. |
| AGENT ATTORNEY ADDRESS1 | 16 Madison Square West |
| AGENT ATTORNEY ADDRESS2 | 10th Floor |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127968844.0 |
| AGENT ATTORNEY EMAIL ADDRESS | suzanne.seltzer@theseltzerfirm.com |
| LAWFIRM NAME BUSINESS NAME | The Seltzer Firm PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Aultman Hospital |
| WORKSITE ADDRESS1 | 2600 6th Street SW |
| LCA CASE WORKLOC1 CITY | Canton |
| WORKSITE COUNTY | STARK |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44710 |
| LCA CASE WAGE RATE FROM | 400000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Seltzer |
| PREPARER FIRST NAME | Suzanne |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | The Seltzer Firm, PLLC |
| PREPARER EMAIL | suzanne.seltzer@theseltzerfirm.com |
