| LCA CASE NUMBER | I-200-21065-126344 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-06 |
| DECISION DATE | 2021-03-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Emergency Medicine Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-06 |
| END DATE | 2021-07-14 |
| 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 | Hawaii Emergency Physicians Associated, Inc. |
| EMPLOYER ADDRESS1 | PO Box 1266 |
| EMPLOYER CITY | Kailua |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96734 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18082613326 |
| NAICS CODE | 621493 |
| EMPLOYER POC LAST NAME | Pedrina |
| EMPLOYER POC FIRST NAME | Annette |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS 1 | PO Box 1266 |
| EMPLOYER POC CITY | Kailua |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96734 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18082637204 |
| EMPLOYER POC EMAIL | annette@hepa.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cook |
| AGENT ATTORNEY FIRST NAME | Vaughn |
| AGENT ATTORNEY MIDDLE NAME | Graham Takao |
| AGENT ATTORNEY ADDRESS1 | 120 Pauahi Street |
| AGENT ATTORNEY ADDRESS2 | Suite 312 |
| AGENT ATTORNEY CITY | Hilo |
| AGENT ATTORNEY STATE | HI |
| AGENT ATTORNEY POSTAL CODE | 96720 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18089610406 |
| AGENT ATTORNEY EMAIL ADDRESS | vgc@torkildson.com |
| LAWFIRM NAME BUSINESS NAME | Torkildson Katz Hetherington Harris & Knorek |
| STATE OF HIGHEST COURT | HI |
| NAME OF HIGHEST STATE COURT | Hawaii Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 45-547 Plumeria Street |
| LCA CASE WORKLOC1 CITY | Honokaa |
| WORKSITE COUNTY | HAWAII |
| LCA CASE WORKLOC1 STATE | HI |
| WORKSITE POSTAL CODE | 96727 |
| LCA CASE WAGE RATE FROM | 169416 |
| LCA CASE WAGE RATE TO | 189114 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 169416 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Cook |
| PREPARER FIRST NAME | Vaughn |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Torkildson Katz Hetherington Harris & Knorek |
| PREPARER EMAIL | vgc@torkildson.com |
