| LCA CASE NUMBER | I-200-21098-207768 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-08 |
| DECISION DATE | 2021-04-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-18 |
| END DATE | 2022-06-25 |
| 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 | The Mary Imogene Bassett Hospital |
| EMPLOYER ADDRESS1 | One Atwell Road |
| EMPLOYER CITY | Cooperstown |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13326 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16075476522 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Stoecklin |
| EMPLOYER POC FIRST NAME | Jill |
| EMPLOYER POC JOB TITLE | Administrative Director, Medical Education & Medical School |
| EMPLOYER POC ADDRESS 1 | One Atwell Road |
| EMPLOYER POC CITY | Cooperstown |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13326 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16075476522 |
| EMPLOYER POC EMAIL | jill.stoecklin@bassett.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | New |
| AGENT ATTORNEY FIRST NAME | Courtney |
| AGENT ATTORNEY MIDDLE NAME | Harrison |
| AGENT ATTORNEY ADDRESS1 | 1300 Clinton Square |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14014541116 |
| AGENT ATTORNEY EMAIL ADDRESS | cnew@nixonpeabody.com |
| LAWFIRM NAME BUSINESS NAME | Nixon Peabody LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | One Atwell Road |
| LCA CASE WORKLOC1 CITY | Cooperstown |
| WORKSITE COUNTY | OTSEGO |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13326 |
| LCA CASE WAGE RATE FROM | 64703 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 63375 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | Association of American Medical Colleges |
| PW SURVEY NAME | AAMC Survey of Resident/Fellow Stipends and Benefits |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | James |
| PREPARER FIRST NAME | Elizabeth |
| PREPARER MIDDLE INITIAL | H |
| PREPARER BUSINESS NAME | Nixon Peabody LLP |
| PREPARER EMAIL | ehjames@nixonpeabody.com |
