| LCA CASE NUMBER | I-200-21232-535982 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-20 |
| DECISION DATE | 2021-08-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Hospitalist |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Bristol Hospital Multispecialty Group, Inc. |
| EMPLOYER ADDRESS1 | 32 Valley Street |
| EMPLOYER CITY | Bristol |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18605853000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Henry |
| EMPLOYER POC FIRST NAME | Edward |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 32 Valley Street |
| EMPLOYER POC CITY | Bristol |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18605853856 |
| EMPLOYER POC EMAIL | ehenry@bristolhospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Lewis |
| AGENT ATTORNEY ADDRESS1 | 999 Asylum Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 202 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602498100 |
| AGENT ATTORNEY PHONE EXT | 108 |
| AGENT ATTORNEY EMAIL ADDRESS | awizner@lkwvisa.com |
| LAWFIRM NAME BUSINESS NAME | Leete, Kosto & Wizner, LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 41 Brewster Rd. |
| LCA CASE WORKLOC1 CITY | Bristol |
| WORKSITE COUNTY | BRISTOL CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6010 |
| LCA CASE WAGE RATE FROM | 106 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 65.09 |
| 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 Business |
| PREPARER LAST NAME | Afshar |
| PREPARER FIRST NAME | Rojia |
| PREPARER BUSINESS NAME | Leete, Kosto and Wizner, LLP |
| PREPARER EMAIL | rafshar@lkwvisa.com |
