| LCA CASE NUMBER | I-200-20181-686268 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-29 |
| DECISION DATE | 2020-07-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-27 |
| END DATE | 2023-07-26 |
| 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 | Community Health and Wellness Center of Greater Torrington, Inc. |
| EMPLOYER ADDRESS1 | 469 Migeon Avenue |
| EMPLOYER CITY | Torrington |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06790 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18603870433 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Barrow |
| EMPLOYER POC FIRST NAME | Dorothy |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 469 Migeon Avenue |
| EMPLOYER POC CITY | Torrington |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06790 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18603870433 |
| EMPLOYER POC EMAIL | dbarrow@chwctorr.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Lewis |
| AGENT ATTORNEY ADDRESS1 | 999 Asylum Avenue, Suite 202 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06105 |
| 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 | N |
| WORKSITE ADDRESS1 | 469 Migeon Avenue |
| LCA CASE WORKLOC1 CITY | Torrington |
| WORKSITE COUNTY | TORRINGTON |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06790 |
| LCA CASE WAGE RATE FROM | 190000.0 |
| LCA CASE WAGE RATE TO | 225000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 94432.0 |
| 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 |
