| LCA CASE NUMBER | I-200-21260-592036 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-17 |
| DECISION DATE | 2021-09-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-17 |
| END DATE | 2024-12-16 |
| 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 | Southern Tier Community Health Center Network, Inc. |
| TRADE NAME DBA | Universal Primary Care |
| EMPLOYER ADDRESS1 | 135 North Union Street |
| EMPLOYER CITY | Olean |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14760 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17163757500 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Graham |
| EMPLOYER POC FIRST NAME | Carrie |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 135 North Union Street |
| EMPLOYER POC CITY | Olean |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14760 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17167016863 |
| EMPLOYER POC EMAIL | cgraham@upchealth.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sobieski |
| AGENT ATTORNEY FIRST NAME | Lee |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 5530 Sheridan drive |
| AGENT ATTORNEY ADDRESS2 | suite 1 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | New York |
| AGENT ATTORNEY PHONE | 17166346500 |
| AGENT ATTORNEY EMAIL ADDRESS | lsobieski@usavisa.net |
|
| LAWFIRM NAME BUSINESS NAME | Berger Berger & Sobieski |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division, Fourth Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 135 N. Union Street |
| LCA CASE WORKLOC1 CITY | Olean |
| WORKSITE COUNTY | CATTARAUGUS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14760 |
| LCA CASE WAGE RATE FROM | 190000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 162968 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sobieski |
| PREPARER FIRST NAME | Lee |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Berger Berger and Sobieski |
| PREPARER EMAIL | lsobieski@usavisa.net |
