| LCA CASE NUMBER | I-200-20224-763255 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-11 |
| DECISION DATE | 2020-08-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-25 |
| END DATE | 2023-09-24 |
| 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 | Olean General Hospital |
| EMPLOYER ADDRESS1 | 515 Main Street |
| EMPLOYER CITY | Olean |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14760 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17163756302 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Zewe |
| EMPLOYER POC FIRST NAME | Jeffrey |
| EMPLOYER POC MIDDLE NAME | S. |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 515 Main Street |
| EMPLOYER POC CITY | Olean |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14760 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17163756302 |
| EMPLOYER POC EMAIL | gkloss@uahs.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hitz |
| AGENT ATTORNEY FIRST NAME | Alison |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | One Embarcadero Center |
| AGENT ATTORNEY ADDRESS2 | Ste. 400 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159848563.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ahitz@ClarkHill.com |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2626 West State Street |
| LCA CASE WORKLOC1 CITY | Olean |
| WORKSITE COUNTY | CATTARAUGUS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14760 |
| LCA CASE WAGE RATE FROM | 210000.0 |
| LCA CASE WAGE RATE TO | 230456.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 132038.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hitz |
| PREPARER FIRST NAME | Alison |
| PREPARER MIDDLE INITIAL | P. |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | ahitz@ClarkHill.com |
