| LCA CASE NUMBER | I-200-21211-493760 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-30 |
| DECISION DATE | 2021-08-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| 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 | Northern Oswego County Health Services, Inc. |
| TRADE NAME DBA | Connextcare |
| EMPLOYER ADDRESS1 | 61 Delano Street |
| EMPLOYER CITY | Pulaski |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13142 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13152986569 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Peter-Clark |
| EMPLOYER POC FIRST NAME | Tricia |
| EMPLOYER POC JOB TITLE | President/CEO |
| EMPLOYER POC ADDRESS1 | 61 Delano Street |
| EMPLOYER POC CITY | Pulaski |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13142 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13152986569 |
| EMPLOYER POC EMAIL | TClark@connextcare.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Apa |
| AGENT ATTORNEY FIRST NAME | Jill |
| AGENT ATTORNEY MIDDLE NAME | Ann |
| AGENT ATTORNEY ADDRESS1 | 140 Pearl Street |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17168481745 |
| AGENT ATTORNEY EMAIL ADDRESS | japa@hodgsonruss.com |
| LAWFIRM NAME BUSINESS NAME | Hodgson Russ LLP |
|
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 61 Delano Street |
| LCA CASE WORKLOC1 CITY | Pulaski |
| WORKSITE COUNTY | OSWEGO |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13142 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 144144 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 Business |
| PREPARER LAST NAME | Apa |
| PREPARER FIRST NAME | Jill |
| PREPARER MIDDLE INITIAL | Ann |
| PREPARER BUSINESS NAME | Hodgson Russ LLP |
| PREPARER EMAIL | japa@hodgsonruss.com |
