| LCA CASE NUMBER | I-200-20190-702354 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-08 |
| DECISION DATE | 2020-07-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Lab Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-01-01 |
| END DATE | 2023-12-31 |
| 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 | Osmond General Hospital |
| EMPLOYER ADDRESS1 | 402 N Maple St |
| EMPLOYER CITY | Osmond |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68765 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14027483393 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Knievel |
| EMPLOYER POC FIRST NAME | Lon |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 402 N Maple St |
| EMPLOYER POC CITY | Osmond |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68765 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14027483393 |
| EMPLOYER POC EMAIL | lknievel@oghne.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | CURLEY |
| AGENT ATTORNEY FIRST NAME | MARK |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 11128 JOHN GALT BLVD |
| AGENT ATTORNEY ADDRESS2 | SUITE 104 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68137 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14027338989.0 |
| AGENT ATTORNEY EMAIL ADDRESS | MJCURLEY@CURLEYLAWOFFICE.COM |
| LAWFIRM NAME BUSINESS NAME | Curley Immigration Law, PC LLO |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 402 N Maple St |
| LCA CASE WORKLOC1 CITY | Osmond |
| WORKSITE COUNTY | PIERCE |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68765 |
| LCA CASE WAGE RATE FROM | 24.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 18.47 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
