| LCA CASE NUMBER | I-200-21077-157625 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-18 |
| DECISION DATE | 2021-03-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician, Obstetrics and Gynecology |
| SOC CODE | 29-1064.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-20 |
| END DATE | 2024-04-19 |
| 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 | Bristol Hospital Multispecialty Group, Inc. |
| EMPLOYER ADDRESS1 | 32 Valley Street |
| EMPLOYER CITY | Bristol |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18605853486 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Henry, MHA |
| EMPLOYER POC FIRST NAME | Edward |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS 1 | 32 Valley Street, P.O. Box 2828 |
| EMPLOYER POC CITY | Bristol |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18605853486 |
| EMPLOYER POC EMAIL | ehenry@bristolhospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Lewis |
| AGENT ATTORNEY ADDRESS1 | 999 Asylum Ave., Suite 202 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06105-2475 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602498100 |
| AGENT ATTORNEY EMAIL ADDRESS | awizner@lkwvisa.com |
| LAWFIRM NAME BUSINESS NAME | Leete, Kosto and Wizner, LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 41 Brewster Road |
| LCA CASE WORKLOC1 CITY | Bristol |
| WORKSITE COUNTY | BRISTOL CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6010 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 315000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Zhu |
| PREPARER FIRST NAME | Yunli |
| PREPARER BUSINESS NAME | Leete, Kosto and Wizner, LLP |
| PREPARER EMAIL | jzhu@lkwvisa.com |
