| LCA CASE NUMBER | I-200-20176-678535 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-24 |
| DECISION DATE | 2020-07-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician-Family Medicine |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Sparrow Carson Hospital |
| TRADE NAME DBA | Sparrow Medical Group Carson |
| EMPLOYER ADDRESS1 | 1200 East Michigan Avenue |
| EMPLOYER ADDRESS2 | Suite 600 |
| EMPLOYER CITY | Lansing |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48912 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15173645140 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kosloski |
| EMPLOYER POC FIRST NAME | Andrea |
| EMPLOYER POC MIDDLE NAME | J |
| EMPLOYER POC JOB TITLE | Vice President of Legal and Risk Management |
| EMPLOYER POC ADDRESS1 | 1200 East Michigan Avenue |
| EMPLOYER POC ADDRESS2 | Suite 600 |
| EMPLOYER POC CITY | Lansing |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48912 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15173645140 |
| EMPLOYER POC EMAIL | brandy.rothenberger@sparrow.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Bryce |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | V |
| AGENT ATTORNEY ADDRESS1 | 4449 Fashion Square Boulevard |
| AGENT ATTORNEY CITY | Saginaw |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48603 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19897924499.0 |
| AGENT ATTORNEY EMAIL ADDRESS | dbryce@masudlaborlaw.com |
| LAWFIRM NAME BUSINESS NAME | Masud Labor Law Group |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 102 S. Third Street |
| WORKSITE ADDRESS2 | Suite 100 |
| LCA CASE WORKLOC1 CITY | Carson City |
| WORKSITE COUNTY | MONTCALM |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48811 |
| LCA CASE WAGE RATE FROM | 220000.0 |
| LCA CASE WAGE RATE TO | 240000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 179192.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
