| LCA CASE NUMBER | I-200-21294-659122 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-10-21 |
| DECISION DATE | 2021-11-09 |
| ORIGINAL CERT DATE | 2021-10-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physical Therapist I |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-11-15 |
| END DATE | 2024-11-14 |
| 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 | Franciscan Alliance Inc. |
| TRADE NAME DBA | Franciscan Health Lafayette |
| EMPLOYER ADDRESS1 | 1701 South Creasy Lane |
| EMPLOYER CITY | Lafayette |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47905 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17655024000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Wilson |
| EMPLOYER POC FIRST NAME | Terrance |
| EMPLOYER POC JOB TITLE | President CEO |
| EMPLOYER POC ADDRESS1 | 1701 South Creasy Lane |
| EMPLOYER POC CITY | Lafayette |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47905 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17655024440 |
| EMPLOYER POC EMAIL | Terry.Wilson@Franciscanalliance.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Martinez Martinez |
| AGENT ATTORNEY FIRST NAME | Giuliana |
| AGENT ATTORNEY ADDRESS1 | 333 West Wacker Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13122636101 |
| AGENT ATTORNEY EMAIL ADDRESS | gmartinez@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
|
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1701 South Creasy Lane |
| LCA CASE WORKLOC1 CITY | Lafayette |
| WORKSITE COUNTY | TIPPECANOE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47905 |
| LCA CASE WAGE RATE FROM | 44.8 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 41.66 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 and Employment |
