| LCA CASE NUMBER | I-200-20121-532941 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-30 |
| DECISION DATE | 2020-05-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Endocrinologist |
| SOC CODE | 29-1069 |
| SOC TITLE | 29-1069 |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-27 |
| END DATE | 2023-07-26 |
| 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 | Griffin Faculty Physicians, Inc. |
| EMPLOYER ADDRESS1 | 130 Division Street |
| EMPLOYER CITY | Derby |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6418 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12037321330 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Dworkin, JD |
| EMPLOYER POC FIRST NAME | Adam |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 130 Division Street |
| EMPLOYER POC CITY | Derby |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6418 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12037321330 |
| EMPLOYER POC EMAIL | adworkin@griffinhealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Arias |
| AGENT ATTORNEY FIRST NAME | Betsy |
| AGENT ATTORNEY ADDRESS1 | 110 West 34th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128403878.0 |
| AGENT ATTORNEY EMAIL ADDRESS | marla@perlitsh.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF STEPHEN M PERLITSH |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 130 Division Street |
| LCA CASE WORKLOC1 CITY | Derby |
| WORKSITE COUNTY | DERBY CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6418 |
| LCA CASE WAGE RATE FROM | 225000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 165006.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bart |
| PREPARER FIRST NAME | Marla |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | marla@perlitsh.com |
