| LCA CASE NUMBER | I-200-21232-535365 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-20 |
| DECISION DATE | 2021-08-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN ASSISTANT |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-16 |
| END DATE | 2024-09-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | CANTON-POTSDAM HOSPITAL |
| EMPLOYER ADDRESS1 | 50 LEROY STREET |
| EMPLOYER CITY | POTSDAM |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13676 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13152615000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | SCHLEIDER |
| EMPLOYER POC FIRST NAME | KATHERINE |
| EMPLOYER POC JOB TITLE | SENIOR VP, CLINICAL INTEGRATION AND POPULATION HEALTH |
| EMPLOYER POC ADDRESS1 | 50 LEROY STREET |
| EMPLOYER POC CITY | POTSDAM |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13676 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13152615000 |
| EMPLOYER POC EMAIL | kschleider@cphospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wilk |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 1 Hemphill Place |
| AGENT ATTORNEY ADDRESS2 | Suite 202 |
| AGENT ATTORNEY CITY | Malta |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12020 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15188861354 |
| AGENT ATTORNEY EMAIL ADDRESS | MWILK@TMGVISA.COM |
| LAWFIRM NAME BUSINESS NAME | TMG Visa LLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 50 LEROY STREET |
| LCA CASE WORKLOC1 CITY | POTSDAM |
| WORKSITE COUNTY | ST LAWRENCE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13676 |
| LCA CASE WAGE RATE FROM | 121971 |
| LCA CASE WAGE RATE TO | 177115 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 121971 |
| PW UNIT OF PAY | Year |
| 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 Business |
| PREPARER LAST NAME | WILK |
| PREPARER FIRST NAME | MICHAEL |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | TMG VISA LLC |
| PREPARER EMAIL | MWILK@TMGVISA.COM |
