| LCA CASE NUMBER | I-200-21048-082770 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-17 |
| DECISION DATE | 2021-02-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident Physician/Physician Fellow |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2022-07-31 |
| 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 | Edward W. Sparrow Hospital Association |
| EMPLOYER ADDRESS1 | 1200 East Michigan Avenue |
| EMPLOYER ADDRESS2 | Suite 600 |
| EMPLOYER CITY | Lansing |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48912 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15173645140 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kosloski |
| EMPLOYER POC FIRST NAME | Andrea |
| EMPLOYER POC MIDDLE NAME | J |
| EMPLOYER POC JOB TITLE | Vice President of Legal and Risk Management |
| EMPLOYER POC ADDRESS 1 | 1200 East Michigan Avenue |
| EMPLOYER POC ADDRESS 2 | Suite 600 |
| EMPLOYER POC CITY | Lansing |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48912 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15173645140 |
| EMPLOYER POC EMAIL | brandy.rothenberger@sparrow.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bryce |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | V |
| AGENT ATTORNEY ADDRESS1 | 4449 Fashion Square Boulevard |
| AGENT ATTORNEY CITY | Saginaw |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48603 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19897924499 |
| AGENT ATTORNEY EMAIL ADDRESS | dbryce@masudlaborlaw.com |
|
| LAWFIRM NAME BUSINESS NAME | Masud Labor Law Group |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1215 E. Michigan Avenue |
| LCA CASE WORKLOC1 CITY | Lansing |
| WORKSITE COUNTY | INGHAM |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48912 |
| LCA CASE WAGE RATE FROM | 55000 |
| LCA CASE WAGE RATE TO | 58834 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 48526 |
| PW UNIT OF PAY | Year |
| 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 |
