| LCA CASE NUMBER | I-200-21225-521451 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-13 |
| DECISION DATE | 2021-08-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-08-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Father Flanagan's Boys' Home |
| TRADE NAME DBA | Boys Town National Research Hospital |
| EMPLOYER ADDRESS1 | 14100 Crawford Street |
| EMPLOYER CITY | Boys Town |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15313556342 |
| NAICS CODE | 62231 |
| EMPLOYER POC LAST NAME | Bolinger |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC JOB TITLE | Pre-Boarding Talent Supervisor • Human Resources |
| EMPLOYER POC ADDRESS1 | 14100 Crawford Street |
| EMPLOYER POC CITY | Boys Town |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15313556342 |
| EMPLOYER POC EMAIL | lisa.bolinger@boystown.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kessler |
| AGENT ATTORNEY FIRST NAME | Dustin |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 10050 Regency Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023421000 |
| AGENT ATTORNEY EMAIL ADDRESS | dkessler@fitzlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fitzgerald Schorr Law Firm, PC, LLO |
|
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7205 West Center Road |
| LCA CASE WORKLOC1 CITY | Omaha |
| WORKSITE COUNTY | DOUGLAS |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68124 |
| LCA CASE WAGE RATE FROM | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 136115 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kessler |
| PREPARER FIRST NAME | Dustin |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Fitzgerald, Schorr Law Firm, PC |
| PREPARER EMAIL | dkessler@fitzlaw.com |
