| LCA CASE NUMBER | I-200-21196-464358 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-15 |
| DECISION DATE | 2021-07-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-07-16 |
| 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 | Warren Memorial Hospital |
| TRADE NAME DBA | Friend Community Healthcare System |
| EMPLOYER ADDRESS1 | 905 2nd Street |
| EMPLOYER CITY | Friend |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68359 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14029472541 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Wilson |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 905 2nd Street |
| EMPLOYER POC CITY | Friend |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68359 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14029472541 |
| EMPLOYER POC EMAIL | jwilson@friendmed.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Allen |
| AGENT ATTORNEY FIRST NAME | Clairessa |
| AGENT ATTORNEY ADDRESS1 | 1201 Lincoln Mall |
| AGENT ATTORNEY ADDRESS2 | STE. 100 |
| AGENT ATTORNEY CITY | Lincoln |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68508 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14022613475 |
| AGENT ATTORNEY EMAIL ADDRESS | claire@bruninglawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Bruning Law Group |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Nebraska Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 905 2nd Street |
| LCA CASE WORKLOC1 CITY | Friend |
| WORKSITE COUNTY | SALINE |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68359 |
| LCA CASE WAGE RATE FROM | 25 |
| LCA CASE WAGE RATE TO | 25.01 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 22.95 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
