| LCA CASE NUMBER | I-200-20128-550428 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-07 |
| DECISION DATE | 2020-05-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-24 |
| END DATE | 2023-09-24 |
| 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 | Franciscan Alliance, Inc. |
| TRADE NAME DBA | Franciscan Physician Network |
| EMPLOYER ADDRESS1 | 1515 DRAGOON TRAIL |
| EMPLOYER CITY | MISHAWAKA |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46544-5123 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13175287036 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | FOREIT |
| EMPLOYER POC FIRST NAME | CLAUDE |
| EMPLOYER POC JOB TITLE | DO, MHA, CORPORATE VP, FRANCISCAN PHYSICIAN NETWORK |
| EMPLOYER POC ADDRESS1 | 1040 SIERRA DRIVE |
| EMPLOYER POC ADDRESS2 | SUITE 1200 |
| EMPLOYER POC CITY | GREENWOOD |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46143-7240 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13175287036 |
| EMPLOYER POC EMAIL | CLAUDE.FOREIT@FRANCISCANALLIANCE.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Jacobson |
| AGENT ATTORNEY FIRST NAME | P. Michelle |
| AGENT ATTORNEY ADDRESS1 | 333 West Wacker Drive |
| AGENT ATTORNEY ADDRESS2 | 15th Floor |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13122636101.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ddavalos@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP132726464 |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 915 Sagamore Pkwy W |
| LCA CASE WORKLOC1 CITY | West Lafayette |
| WORKSITE COUNTY | TIPPECANOE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47906 |
| LCA CASE WAGE RATE FROM | 220000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 205150.0 |
| 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 |