| LCA CASE NUMBER | I-200-21081-164006 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-22 |
| DECISION DATE | 2021-03-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Brown County Hospital |
| EMPLOYER ADDRESS1 | 945 East Zero Street |
| EMPLOYER CITY | Ainsworth |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 69210 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14023872800 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Werner |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 945 East Zero Street |
| EMPLOYER POC CITY | Ainsworth |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 69210 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14023872800 |
| EMPLOYER POC EMAIL | ceo@browncountyhospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peck |
| AGENT ATTORNEY FIRST NAME | Amy |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 10050 Regency Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023911991 |
| AGENT ATTORNEY EMAIL ADDRESS | jacque.banker@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, PC |
| STATE OF HIGHEST COURT | NE |
|
| NAME OF HIGHEST STATE COURT | NEBRASKA Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 945 East Zero Street |
| LCA CASE WORKLOC1 CITY | Ainsworth |
| WORKSITE COUNTY | BROWN |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 69210 |
| LCA CASE WAGE RATE FROM | 48880 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 28454 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Banker |
| PREPARER FIRST NAME | Jacque |
| PREPARER BUSINESS NAME | Jackson Lewis, PC |
| PREPARER EMAIL | jacque.banker@jacksonlewis.com |
