| LCA CASE NUMBER | I-200-21273-615865 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-30 |
| DECISION DATE | 2021-10-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-06 |
| END DATE | 2024-12-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Southern Illinois Health Care Foundation, Inc. |
| TRADE NAME DBA | SIHF Healthcare |
| EMPLOYER ADDRESS1 | 2041 Goose Lake Road |
| EMPLOYER CITY | Sauget |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62206 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16183320783 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | McCulley |
| EMPLOYER POC FIRST NAME | Larry |
| EMPLOYER POC JOB TITLE | President/CEO |
| EMPLOYER POC ADDRESS1 | 2041 Goose Lake Road |
| EMPLOYER POC CITY | Sauget |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62206 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16183320783 |
| EMPLOYER POC EMAIL | noname@sihf.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Villalobos |
| AGENT ATTORNEY FIRST NAME | Melina |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 31608 |
| AGENT ATTORNEY CITY | Raleigh |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27622 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19197879700 |
| AGENT ATTORNEY EMAIL ADDRESS | mark.dolister@odnss.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Indiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1200 North East St. |
| LCA CASE WORKLOC1 CITY | Olney |
| WORKSITE COUNTY | RICHLAND |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62450 |
| LCA CASE WAGE RATE FROM | 164861 |
| LCA CASE WAGE RATE TO | 202717 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 164861 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Villalobos |
| PREPARER FIRST NAME | Melina |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | mark.dolister@odnss.com |
