| LCA CASE NUMBER | I-200-21148-354290 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-28 |
| DECISION DATE | 2021-06-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Staff |
| 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 | Cleveland Clinic |
| EMPLOYER ADDRESS1 | 9500 Euclid Avenue |
| EMPLOYER CITY | Cleveland |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44195 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12164442200 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Thibeault |
| EMPLOYER POC FIRST NAME | Mary |
| EMPLOYER POC JOB TITLE | Administrator, Primary Care Pediatrics |
| EMPLOYER POC ADDRESS 1 | 6000 W. Creek Drive |
| EMPLOYER POC CITY | Independence |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44131 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12169527707 |
| EMPLOYER POC EMAIL | thibeam@ccf.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Leopold |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Wolfe |
| AGENT ATTORNEY ADDRESS1 | 1660 West 2nd Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Cleveland |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44113 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12165837400 |
| AGENT ATTORNEY EMAIL ADDRESS | dleopold@ulmer.com |
| LAWFIRM NAME BUSINESS NAME | Ulmer & Berne LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5700 Cooper Foster Park Road |
| WORKSITE ADDRESS2 | Lorain Family Health and Surgery Center |
| LCA CASE WORKLOC1 CITY | Lorain |
| WORKSITE COUNTY | LORAIN |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44053 |
| LCA CASE WAGE RATE FROM | 170000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 130728 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
