| LCA CASE NUMBER | I-200-21028-039824 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-28 |
| DECISION DATE | 2021-02-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-22 |
| END DATE | 2024-07-21 |
| 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 | Marion General Hospital, Inc. |
| EMPLOYER ADDRESS1 | 441 North Wabash Avenue |
| EMPLOYER CITY | Marion |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46952 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17656606000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hilton-Siebert |
| EMPLOYER POC FIRST NAME | Stephanie |
| EMPLOYER POC JOB TITLE | President / CEO |
| EMPLOYER POC ADDRESS 1 | 441 N. Wabash Avenue |
| EMPLOYER POC CITY | Marion |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46952 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17656606605 |
| EMPLOYER POC EMAIL | christina.beck@mgh.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kelley |
| AGENT ATTORNEY FIRST NAME | Kristin |
| AGENT ATTORNEY ADDRESS1 | One American Square |
| AGENT ATTORNEY ADDRESS2 | Suite 2900 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46282 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13172362284 |
| AGENT ATTORNEY EMAIL ADDRESS | areeba.ghouri@icemiller.com |
| LAWFIRM NAME BUSINESS NAME | Ice Miller LLP |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Indiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 441 N. Wabash Avenue |
| LCA CASE WORKLOC1 CITY | Marion |
| WORKSITE COUNTY | GRANT |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46952 |
| LCA CASE WAGE RATE FROM | 30 |
| LCA CASE WAGE RATE TO | 35 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 27.94 |
| 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 |
