| LCA CASE NUMBER | I-200-21272-614463 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-29 |
| DECISION DATE | 2021-10-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-29 |
| END DATE | 2024-11-28 |
| 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 | The Memorial Hospital of William F and Gertrude F Jones Inc. |
| TRADE NAME DBA | Jones Memorial Hospital |
| EMPLOYER ADDRESS1 | 191 North Main Street |
| EMPLOYER CITY | Wellsville |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14895 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15855931100 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Helms |
| EMPLOYER POC FIRST NAME | James |
| EMPLOYER POC JOB TITLE | President/CEO |
| EMPLOYER POC ADDRESS1 | 191 North Main Street |
| EMPLOYER POC CITY | Wellsville |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14895 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15855964002 |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Novak |
| AGENT ATTORNEY FIRST NAME | Francis |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1600 Bausch Lomb Place |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15852311406 |
| AGENT ATTORNEY EMAIL ADDRESS | fnovak@hselaw.com |
| LAWFIRM NAME BUSINESS NAME | Harter Secrest Emery LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK COURT OF APPEALS |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 20 Main Street |
| LCA CASE WORKLOC1 CITY | Andover |
| WORKSITE COUNTY | ALLEGANY |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14806 |
| LCA CASE WAGE RATE FROM | 74131 |
| LCA CASE WAGE RATE TO | 274131 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 74131 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
