| LCA CASE NUMBER | I-200-21085-177052 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-26 |
| DECISION DATE | 2021-04-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Interventional Cardiologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-12 |
| END DATE | 2024-07-11 |
| 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 | Citizens Memorial Hospital District |
| TRADE NAME DBA | Citizens Memorial Hospital |
| EMPLOYER ADDRESS1 | 1500 North Oakland Avenue |
| EMPLOYER CITY | Bolivar |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65613 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14173266000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Shelby |
| EMPLOYER POC FIRST NAME | Donna |
| EMPLOYER POC JOB TITLE | Physician/Provider Recruitment |
| EMPLOYER POC ADDRESS 1 | 1500 North Oakland Avenue |
| EMPLOYER POC CITY | Bolivar |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 65613 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14173286273 |
| EMPLOYER POC EMAIL | Donna.Shelby@CitizensMemorial.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sandler |
| AGENT ATTORNEY FIRST NAME | Bradley |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 7700 Forsyth Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | St. Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13147193006 |
| AGENT ATTORNEY EMAIL ADDRESS | brad.sandler@stinson.com |
| LAWFIRM NAME BUSINESS NAME | Stinson LLP |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1500 North Oakland |
| LCA CASE WORKLOC1 CITY | Bolivar |
| WORKSITE COUNTY | POLK |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65613 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 750000 |
| 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 | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
