| LCA CASE NUMBER | I-200-21137-317751 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-17 |
| DECISION DATE | 2021-05-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| 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 | Lester E. Cox Medical Centers |
| TRADE NAME DBA | CoxHealth |
| EMPLOYER ADDRESS1 | 1423 N. Jefferson |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65802 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14172694369 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Johnson |
| EMPLOYER POC FIRST NAME | Paula |
| EMPLOYER POC JOB TITLE | Administrative Director of Physician Development |
| EMPLOYER POC ADDRESS 1 | 3800 South National Avenue, Suite 540 |
| EMPLOYER POC CITY | Springfield |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 65807 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14172694369 |
| EMPLOYER POC EMAIL | paula.johnson@coxhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Webber |
| AGENT ATTORNEY FIRST NAME | Robert |
| AGENT ATTORNEY ADDRESS1 | 50 South Sixth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124926715 |
| AGENT ATTORNEY EMAIL ADDRESS | webber.robert@dorsey.com |
| LAWFIRM NAME BUSINESS NAME | Dorsey and Whitney, LLP |
| STATE OF HIGHEST COURT | MN |
|
| NAME OF HIGHEST STATE COURT | Supreme Court of Minnesota |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | CoxHealth Monett Clinic / CoxHealth Cox Monett Hospital |
| WORKSITE ADDRESS2 | 1000 E. Hwy 60 |
| LCA CASE WORKLOC1 CITY | Monett |
| WORKSITE COUNTY | BARRY |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65708 |
| LCA CASE WAGE RATE FROM | 450000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 56222 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Frank |
| PREPARER FIRST NAME | Penni |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | Dorsey & Whitney, LLP |
| PREPARER EMAIL | frank.penni@dorsey.com |
