| LCA CASE NUMBER | I-200-21113-253108 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-04-23 |
| DECISION DATE | 2021-11-02 |
| ORIGINAL CERT DATE | 2021-04-30 |
| 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 | 2021-06-01 |
| END DATE | 2024-05-31 |
| TOTAL WORKER POSITIONS | 2 |
| NEW EMPLOYMENT | 2 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Perry County Health Systems |
| TRADE NAME DBA | Perry County Memorial Hospital |
| EMPLOYER ADDRESS1 | 434 N. West St. |
| EMPLOYER CITY | Perryville |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 63775 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15737683293 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Wibbenmeyer |
| EMPLOYER POC FIRST NAME | Chris |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 434 North West Street |
| EMPLOYER POC CITY | Perryville |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63775 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15737683293 |
| EMPLOYER POC EMAIL | cmwibbenmeyer@pchmo.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Keeney |
| AGENT ATTORNEY FIRST NAME | Melanie |
| AGENT ATTORNEY MIDDLE NAME | Gurley |
| AGENT ATTORNEY ADDRESS1 | 34 N. Meramec Ave. |
| AGENT ATTORNEY ADDRESS2 | Ste. 600 |
| AGENT ATTORNEY CITY | St. Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13148803611 |
| AGENT ATTORNEY EMAIL ADDRESS | mkeeney@tuethkeeney.com |
|
| LAWFIRM NAME BUSINESS NAME | Tueth, Keeney, Cooper, Mohan & Jackstadt PC |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 2 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 434 North West Street |
| LCA CASE WORKLOC1 CITY | Perryville |
| WORKSITE COUNTY | PERRY |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 63775 |
| LCA CASE WAGE RATE FROM | 22.31 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.46 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 | Garcia |
| PREPARER FIRST NAME | Rachel |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Tueth, Keeney, Cooper, Mohan & Jackstadt PC |
| PREPARER EMAIL | rgarcia@tuethkeeney.com |
