| LCA CASE NUMBER | I-200-20125-540623 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-04 |
| DECISION DATE | 2020-05-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-02 |
| END DATE | 2023-06-01 |
| 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 | Annadel Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 500 Doyle Park Drive |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Santa Rosa |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95405 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17073038360 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Currie |
| EMPLOYER POC FIRST NAME | Jeannette |
| EMPLOYER POC MIDDLE NAME | B. |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 185 Sotoyome Street |
| EMPLOYER POC CITY | Santa Rosa |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95405 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17073038360 |
| EMPLOYER POC EMAIL | Ellen.Layher@stjoe.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Salter |
| AGENT ATTORNEY FIRST NAME | Michelle |
| AGENT ATTORNEY MIDDLE NAME | Luzentales |
| AGENT ATTORNEY ADDRESS1 | 920 Fifth Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12067578342.0 |
| AGENT ATTORNEY EMAIL ADDRESS | michellesalter@dwt.com |
| LAWFIRM NAME BUSINESS NAME | Davis Wright Tremaine LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Santa Rosa Memorial Hospital |
| WORKSITE ADDRESS1 | 1165 Montgomery Drive |
| LCA CASE WORKLOC1 CITY | Santa Rosa |
| WORKSITE COUNTY | SONOMA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95405 |
| LCA CASE WAGE RATE FROM | 132.72 |
| LCA CASE WAGE RATE TO | 169.09 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 63.83 |
| 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 | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
