| LCA CASE NUMBER | I-200-21118-266777 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-04-28 |
| DECISION DATE | 2022-08-25 |
| ORIGINAL CERT DATE | 2021-05-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Instructor |
| SOC CODE | 25-1071.00 |
| SOC TITLE | Health Specialties Teachers, Postsecondary |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Univ of WI System |
| TRADE NAME DBA | University of Wisconsin-Madison |
| EMPLOYER ADDRESS1 | 21 North Park Street |
| EMPLOYER ADDRESS2 | Suite 5101 |
| EMPLOYER CITY | Madison |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53715 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16082652257 |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Tollefson |
| EMPLOYER POC FIRST NAME | Katie |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | Assistant Director, IFSS |
| EMPLOYER POC ADDRESS1 | 21 N. Park St. |
| EMPLOYER POC ADDRESS2 | Ste 5101 |
| EMPLOYER POC CITY | Madison |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53715 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16082652257 |
| EMPLOYER POC EMAIL | katie.tollefson@wisc.edu |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 600 Highland Avenue |
| LCA CASE WORKLOC1 CITY | Madison |
| WORKSITE COUNTY | DANE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53792 |
| LCA CASE WAGE RATE FROM | 63407 |
|
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 63407 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
