| LCA CASE NUMBER | I-200-20353-969957 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-18 |
| DECISION DATE | 2020-12-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Pulmonary/Critical Care) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-25 |
| END DATE | 2024-03-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ASCENSION ST. MARY'S HOSPITAL |
| EMPLOYER ADDRESS1 | 800 SOUTH WASHINGTON AVENUE |
| EMPLOYER CITY | SAGINAW |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19899078292 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Cobb |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | Vice President of Operations |
| EMPLOYER POC ADDRESS 1 | 800 S. Washington Avenue |
| EMPLOYER POC CITY | Saginaw |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19899077509 |
| EMPLOYER POC EMAIL | jennifer.cobb3@ascension.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | KIM |
| AGENT ATTORNEY FIRST NAME | MICHAEL |
| AGENT ATTORNEY MIDDLE NAME | LEE |
| AGENT ATTORNEY ADDRESS1 | 500 N. MERIDIAN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 400 |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13179771418 |
| AGENT ATTORNEY EMAIL ADDRESS | GSHELTON@HALLRENDER.COM |
| LAWFIRM NAME BUSINESS NAME | HALL, RENDER, KILLIAN, HEATH & LYMAN, PC |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 800 S. Washington Ave. |
| LCA CASE WORKLOC1 CITY | Saginaw |
| WORKSITE COUNTY | SAGINAW |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48601 |
| LCA CASE WAGE RATE FROM | 450400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 218629 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
