| LCA CASE NUMBER | I-200-21162-391407 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-11 |
| DECISION DATE | 2021-06-21 |
| 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 | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | ProMedica Central Corporation of Michigan |
| EMPLOYER ADDRESS1 | ProMedica - Steam Plant |
| EMPLOYER ADDRESS2 | 100 Madison Avenue, 3rd Floor |
| EMPLOYER CITY | Toledo |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15675853642 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Brandt |
| EMPLOYER POC FIRST NAME | Angela |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | ProMedica Steam Plant |
| EMPLOYER POC ADDRESS 2 | 100 Madison Avenue, 3rd Floor |
| EMPLOYER POC CITY | Toledo |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15675850978 |
| EMPLOYER POC EMAIL | ellen.baumert@promedica.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | ZAROU |
| AGENT ATTORNEY FIRST NAME | MECHELLE |
| AGENT ATTORNEY ADDRESS1 | 1000 JACKSON STREET |
| AGENT ATTORNEY ADDRESS2 | NORTH COURTHOUSE SQUARE |
| AGENT ATTORNEY CITY | TOLEDO |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14193211460 |
| AGENT ATTORNEY EMAIL ADDRESS | mzarou@shumaker.com |
| LAWFIRM NAME BUSINESS NAME | Shumaker, Loop & Kendrick, LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | OHIO SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 157 West Brooke Lane |
| LCA CASE WORKLOC1 CITY | Blissfield |
| WORKSITE COUNTY | LENAWEE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49228 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 235000 |
| 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 | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Zarou |
| PREPARER FIRST NAME | Mechelle |
| PREPARER BUSINESS NAME | Shumaker, Loop & Kendrick, LLP |
| PREPARER EMAIL | mzarou@shumaker.com |
