| LCA CASE NUMBER | I-200-21168-408003 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-17 |
| DECISION DATE | 2021-06-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-08-15 |
| 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 | Aultman Hospital |
| EMPLOYER ADDRESS1 | 2600 6th Street SW |
| EMPLOYER CITY | Canton |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44710 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13303632496 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Evans |
| EMPLOYER POC FIRST NAME | Tiffany |
| EMPLOYER POC JOB TITLE | Director, Physician Recruitment and Relations |
| EMPLOYER POC ADDRESS 1 | 2600 6th Street SW |
| EMPLOYER POC CITY | Canton |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44710 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13303632496 |
| EMPLOYER POC EMAIL | tiffany.evans@aultman.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Seltzer |
| AGENT ATTORNEY FIRST NAME | Suzanne |
| AGENT ATTORNEY MIDDLE NAME | B. |
| AGENT ATTORNEY ADDRESS1 | 16 Madison Square West |
| AGENT ATTORNEY ADDRESS2 | 10th Floor |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127968844 |
| AGENT ATTORNEY EMAIL ADDRESS | suzanne.seltzer@theseltzerfirm.com |
| LAWFIRM NAME BUSINESS NAME | The Seltzer Firm PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | My Community Health Center |
| WORKSITE ADDRESS1 | 2600 7th Street SW |
| LCA CASE WORKLOC1 CITY | Canton |
| WORKSITE COUNTY | STARK |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44710 |
| LCA CASE WAGE RATE FROM | 177694 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 177694 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Seltzer |
| PREPARER FIRST NAME | Suzanne |
| PREPARER MIDDLE INITIAL | B. |
| PREPARER BUSINESS NAME | The Seltzer Firm, PLLC |
| PREPARER EMAIL | suzanne.seltzer@theseltzerfirm.com |
