| LCA CASE NUMBER | I-200-21132-308462 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-12 |
| DECISION DATE | 2021-05-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| 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 | Guthrie Medical Group P.C. |
| EMPLOYER ADDRESS1 | 1 Guthrie Square |
| EMPLOYER CITY | Sayre |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18840 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15708876323 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Anderson |
| EMPLOYER POC FIRST NAME | Shannon |
| EMPLOYER POC JOB TITLE | Manager, Physician Recruitment & Retention |
| EMPLOYER POC ADDRESS 1 | 1 Guthrie Square |
| EMPLOYER POC CITY | Sayre |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18840 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15708876490 |
| EMPLOYER POC EMAIL | Shannon.Anderson@guthrie.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jurcevich |
| AGENT ATTORNEY FIRST NAME | Laura |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 41 S High Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3100 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16142272079 |
| AGENT ATTORNEY EMAIL ADDRESS | ljurcevich@porterwright.com |
| LAWFIRM NAME BUSINESS NAME | PORTER WRIGHT MORRIS & ARTHUR LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1011 North Elmer Avenue |
| LCA CASE WORKLOC1 CITY | Sayre |
| WORKSITE COUNTY | BRADFORD |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 18840 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE TO | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 141440 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Higgins |
| PREPARER FIRST NAME | Edward |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Porter Wright Morris & Arthur LLP |
| PREPARER EMAIL | ehiggins@porterwright.com |
