| LCA CASE NUMBER | I-200-21161-386937 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-10 |
| DECISION DATE | 2021-06-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Surgery Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-16 |
| END DATE | 2024-07-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Rochester General Hospital |
| EMPLOYER ADDRESS1 | 100 Kings Highway South |
| EMPLOYER CITY | ROCHESTER |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14617 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15859224000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Sylvester |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC JOB TITLE | HR Compliance Manager |
| EMPLOYER POC ADDRESS 1 | 100 Kings Highway South |
| EMPLOYER POC CITY | Rochester |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14617 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15859225352 |
| EMPLOYER POC EMAIL | Maria.Sylvester@rochesterregional.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Roberts |
| AGENT ATTORNEY FIRST NAME | Russell |
| AGENT ATTORNEY MIDDLE NAME | William |
| AGENT ATTORNEY ADDRESS1 | 99 Garnsey Road |
| AGENT ATTORNEY CITY | Pittsford |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14534 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15854198767 |
| AGENT ATTORNEY EMAIL ADDRESS | rroberts@harrisbeach.com |
| LAWFIRM NAME BUSINESS NAME | Harris Beach PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1425 Portland Ave. |
| LCA CASE WORKLOC1 CITY | Rochester |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14621 |
| LCA CASE WAGE RATE FROM | 106038 |
| LCA CASE WAGE RATE TO | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 106038 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
| PREPARER LAST NAME | Roberts |
| PREPARER FIRST NAME | Russell |
| PREPARER MIDDLE INITIAL | W. |
| PREPARER BUSINESS NAME | Harris Beach PLLC |
| PREPARER EMAIL | rwroberts585@gamil.com |
