| LCA CASE NUMBER | I-200-21280-630807 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-07 |
| DECISION DATE | 2021-10-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Asst Professor-Geriatrics Primary Care Physician |
| SOC CODE | 25-1071.00 |
| SOC TITLE | Health Specialties Teachers, Postsecondary |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-01 |
| END DATE | 2024-11-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | University of Wisconsin Medical Foundation |
| TRADE NAME DBA | UW Health |
| EMPLOYER ADDRESS1 | 301 S. Westfield Road |
| EMPLOYER ADDRESS2 | Suite 200, Mail code 2409 |
| EMPLOYER CITY | Madison |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53717 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16082628236 |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Hughes |
| EMPLOYER POC FIRST NAME | Ellen |
| EMPLOYER POC JOB TITLE | HR Compliance Coordinator/Corporate Counsel |
| EMPLOYER POC ADDRESS1 | 301 S. Westfield Road |
| EMPLOYER POC ADDRESS2 | Suite 200, Mail code 2409 |
| EMPLOYER POC CITY | Madison |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53717 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16082628236 |
| EMPLOYER POC EMAIL | immigration@ohr.wisc.edu |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5249 E. Terrace Drive |
| LCA CASE WORKLOC1 CITY | Madison |
| WORKSITE COUNTY | DANE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53718 |
| LCA CASE WAGE RATE FROM | 158553 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 61447 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Tollefson |
| PREPARER FIRST NAME | Katie |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | University of Wisconsin System/Madison |
| PREPARER EMAIL | katie.tollefson@wisc.edu |
