| LCA CASE NUMBER | I-200-21142-336209 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-22 |
| DECISION DATE | 2021-05-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 | Knox Clinic Corp |
| TRADE NAME DBA | Galesburg Cottage Hospital |
| EMPLOYER ADDRESS1 | 834 N. Seminary Street |
| EMPLOYER CITY | Galesburg |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13093438131 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Sharma |
| EMPLOYER POC FIRST NAME | Sanjay |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 834 N. Seminary Street |
| EMPLOYER POC CITY | Galesburg |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13093454567 |
| EMPLOYER POC EMAIL | sanjay.sharma@cottagehospital.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Buzgova |
| AGENT ATTORNEY FIRST NAME | Viera |
| AGENT ATTORNEY ADDRESS1 | 7201 Guadalupe St. |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78752 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15124767163 |
| AGENT ATTORNEY EMAIL ADDRESS | viera@immigrationlawtx.com |
| LAWFIRM NAME BUSINESS NAME | Buzgova, Meneses & Wellington Smith, LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 834 N. Seminary St. |
| WORKSITE ADDRESS2 | Ste. 201 |
| LCA CASE WORKLOC1 CITY | Galesburg |
| WORKSITE COUNTY | KNOX |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61401 |
| LCA CASE WAGE RATE FROM | 225000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 |
