| LCA CASE NUMBER | I-200-20113-510277 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-22 |
| DECISION DATE | 2020-04-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Faculty Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-19 |
| END DATE | 2023-06-18 |
| 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 | Foundation Physicians Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 2510 Airpark Drive |
| EMPLOYER ADDRESS2 | Ste. 301 |
| EMPLOYER CITY | Redding |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 96001 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15302423518 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Fletcher |
| EMPLOYER POC FIRST NAME | Amber |
| EMPLOYER POC JOB TITLE | Area Manager, Clinic Operations |
| EMPLOYER POC ADDRESS1 | 2510 Airpark Drive |
| EMPLOYER POC ADDRESS2 | Suite 100 |
| EMPLOYER POC CITY | Redding |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 96001 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15309215132 |
| EMPLOYER POC EMAIL | Amber.Fletcher@DignityHealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Leung |
| AGENT ATTORNEY FIRST NAME | Jared |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 3200 N. Hayden Road |
| AGENT ATTORNEY ADDRESS2 | Ste 320 |
| AGENT ATTORNEY CITY | Scottsdale |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85251 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16026759486.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jleung@jclimmigration.com |
|
| LAWFIRM NAME BUSINESS NAME | JCL Immigration Attorneys, PLLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2510 Airpark Drive |
| WORKSITE ADDRESS2 | Ste. 301 |
| LCA CASE WORKLOC1 CITY | Redding |
| WORKSITE COUNTY | SHASTA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 96001 |
| LCA CASE WAGE RATE FROM | 230000.0 |
| LCA CASE WAGE RATE TO | 280000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 229258.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | Frost |
| PREPARER FIRST NAME | Amanda |
| PREPARER BUSINESS NAME | JCL Immigration Attorneys, PLLC |
| PREPARER EMAIL | afrost@jclimmigration.com |
