| LCA CASE NUMBER | I-200-20136-577334 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-15 |
| DECISION DATE | 2020-05-22 |
| 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 | 2020-07-19 |
| END DATE | 2023-07-18 |
| 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 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC. |
| EMPLOYER ADDRESS1 | 2401 WEST UNIVERSITY AVENUE |
| EMPLOYER CITY | MUNCIE |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47303 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17657473205 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | MCHENRY |
| EMPLOYER POC FIRST NAME | SUSAN |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 2401 WEST UNIVERSITY AVENUE |
| EMPLOYER POC CITY | MUNCIE |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47303 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17657473474 |
| EMPLOYER POC EMAIL | SMCHENRY@IUHEALTH.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Fuschetto |
| AGENT ATTORNEY FIRST NAME | Joseph |
| AGENT ATTORNEY MIDDLE NAME | Rocco |
| AGENT ATTORNEY ADDRESS1 | PO Box 910 |
| AGENT ATTORNEY CITY | BLOOMINGTON |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 47402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18123329295.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jrf@lawbr.com |
| LAWFIRM NAME BUSINESS NAME | Bunger and Robertson |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | INDIANA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1420 South Pilgrim Boulevard |
| LCA CASE WORKLOC1 CITY | Yorktown |
| WORKSITE COUNTY | DELAWARE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47396 |
| LCA CASE WAGE RATE FROM | 220000.0 |
| LCA CASE WAGE RATE TO | 250000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 138715.0 |
| 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 |
