| LCA CASE NUMBER | I-200-20150-611473 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-29 |
| DECISION DATE | 2020-06-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Internal Medicine). |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-13 |
| END DATE | 2023-06-12 |
| 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 | Franklin Medical Group, P.C. |
| EMPLOYER ADDRESS1 | 56 Franklin Street |
| EMPLOYER CITY | Waterbury |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6706 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12032335333 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Anderson |
| EMPLOYER POC FIRST NAME | Steven |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 56 Franklin Street |
| EMPLOYER POC CITY | Waterbury |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6706 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12032335333 |
| EMPLOYER POC EMAIL | steven.anderson@TrinityHealthOfNE.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY ADDRESS1 | 999 Asylum Avenue, Suite 202 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602498100.0 |
| AGENT ATTORNEY EMAIL ADDRESS | awizner@lkwvisa.com |
| LAWFIRM NAME BUSINESS NAME | Leete, Kosto & Wizner, LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Saint Mary's Hospital Inc. |
| WORKSITE ADDRESS1 | 56 Franklin Street |
| LCA CASE WORKLOC1 CITY | Waterbury |
| WORKSITE COUNTY | WATERBURY CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6706 |
| LCA CASE WAGE RATE FROM | 170000.0 |
| LCA CASE WAGE RATE TO | 200000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 164861.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Zhu |
| PREPARER FIRST NAME | Yunli |
| PREPARER BUSINESS NAME | Leete, Kosto & Wizner, LLP |
| PREPARER EMAIL | jzhu@lkwvisa.com |
