| LCA CASE NUMBER | I-200-20280-859994 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-06 |
| DECISION DATE | 2020-10-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Hospitalist) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-07 |
| END DATE | 2023-10-06 |
| 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 | Cumberland County Hospital System, Inc. |
| TRADE NAME DBA | Cape Fear Valley Health System |
| EMPLOYER ADDRESS1 | 1638 Owen Drive |
| EMPLOYER CITY | Fayetteville |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19106154000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Nagowski |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 1638 Owen Drive |
| EMPLOYER POC CITY | Fayetteville |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28304 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19106155812 |
| EMPLOYER POC EMAIL | mnagowski@capefearvalley.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jeffries |
| AGENT ATTORNEY FIRST NAME | Stephen |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 1560 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 914 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127644222 |
| AGENT ATTORNEY EMAIL ADDRESS | Ehause.jc@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Jeffries & Corigliano LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1638 Owen Drive |
| LCA CASE WORKLOC1 CITY | Fayetteville |
| WORKSITE COUNTY | CUMBERLAND |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 28304 |
| LCA CASE WAGE RATE FROM | 261000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 214115 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Corigliano |
| PREPARER FIRST NAME | Dina |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Jeffries & Corigliano LLP |
| PREPARER EMAIL | Ehause.jc@gmail.com |