| LCA CASE NUMBER | I-200-20358-976500 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-22 |
| DECISION DATE | 2020-12-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Lab Supervisor |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-12-30 |
| END DATE | 2023-12-29 |
| 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 | Trinity Health |
| EMPLOYER ADDRESS1 | One Burdick Expressway West |
| EMPLOYER CITY | Minot |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17018575000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Simonson |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC MIDDLE NAME | C. |
| EMPLOYER POC JOB TITLE | HR - Risk Consultant |
| EMPLOYER POC ADDRESS 1 | 400 Burdick Expressway East |
| EMPLOYER POC CITY | Minot |
| EMPLOYER POC STATE | ND |
| EMPLOYER POC POSTAL CODE | 58701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17018575000 |
| EMPLOYER POC EMAIL | paul.simonson@trinityhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Medeiros |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 250 Marquette Avenue South, Suite 800 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123057500 |
| AGENT ATTORNEY EMAIL ADDRESS | jmedeiros@nilanjohnson.com |
| LAWFIRM NAME BUSINESS NAME | Nilan Johnson Lewis PA |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 317 1st Ave Northwest |
| LCA CASE WORKLOC1 CITY | Kenmare |
| WORKSITE COUNTY | WARD |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58746 |
| LCA CASE WAGE RATE FROM | 24.34 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 24.02 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
