| LCA CASE NUMBER | I-200-20135-571316 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-14 |
| DECISION DATE | 2020-05-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident |
| SOC CODE | 29-1199.00 |
| SOC TITLE | Health Diagnosing and Treating Practitioners, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-27 |
| END DATE | 2020-08-06 |
| 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 | Penn State Milton S. Hershey Medical Center |
| EMPLOYER ADDRESS1 | 500 University Drive |
| EMPLOYER CITY | Hershey |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17033 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17175315611 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Saunders |
| EMPLOYER POC FIRST NAME | Karen |
| EMPLOYER POC JOB TITLE | Coordinator, Visa Services |
| EMPLOYER POC ADDRESS1 | 90 Hope Drive, P.O. Box 855, MCA590 |
| EMPLOYER POC ADDRESS2 | Suite 1200 |
| EMPLOYER POC CITY | Hershey |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17033 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17175315611 |
| EMPLOYER POC EMAIL | ksaunders@pennstatehealth.psu.edu |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Pollins |
| AGENT ATTORNEY FIRST NAME | Karen |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 380 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158853600.0 |
| AGENT ATTORNEY EMAIL ADDRESS | karen@goldblumfirm.com |
| LAWFIRM NAME BUSINESS NAME | Goldblum and Pollins, PC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 500 University Drive |
| LCA CASE WORKLOC1 CITY | Hershey |
| WORKSITE COUNTY | DAUPHIN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17033 |
| LCA CASE WAGE RATE FROM | 67321.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 64542.0 |
| PW UNIT OF PAY | Year |
| 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 |
