| LCA CASE NUMBER | I-200-21063-119854 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-04 |
| DECISION DATE | 2021-03-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Pediatrics) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-09 |
| END DATE | 2024-08-08 |
| 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 | Jackson County Memorial Hospital Authority |
| EMPLOYER ADDRESS1 | 1200 East Pecan |
| EMPLOYER CITY | Altus |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 73521 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15803795000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Frey |
| EMPLOYER POC FIRST NAME | Suzy |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Assistant Director of HR |
| EMPLOYER POC ADDRESS 1 | 1200 East Pecan |
| EMPLOYER POC CITY | Altus |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 73521 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15803795882 |
| EMPLOYER POC EMAIL | suzyfrey@jcmh.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stump |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | Douglas |
| AGENT ATTORNEY ADDRESS1 | 6307 Waterford Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 222 |
| AGENT ATTORNEY CITY | Oklahoma City |
| AGENT ATTORNEY STATE | OK |
| AGENT ATTORNEY POSTAL CODE | 73118 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14058790800 |
| AGENT ATTORNEY EMAIL ADDRESS | mstump@usvisagroup.com |
| LAWFIRM NAME BUSINESS NAME | Stump and Associates, PC |
| STATE OF HIGHEST COURT | OK |
| NAME OF HIGHEST STATE COURT | Oklahoma Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 101 S. Park Lane |
| LCA CASE WORKLOC1 CITY | Altus |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 73521 |
| LCA CASE WAGE RATE FROM | 193877 |
| LCA CASE WAGE RATE TO | 232000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 193877 |
| 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 | Stump |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Stump and Associates, PC |
| PREPARER EMAIL | mstump@usvisagroup.com |
