| LCA CASE NUMBER | I-200-21309-689773 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-05 |
| DECISION DATE | 2021-11-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-01 |
| END DATE | 2025-03-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hansford County Hospital District |
| EMPLOYER ADDRESS1 | 707 S. Roland Street |
| EMPLOYER CITY | Spearman |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 79081 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18066592535 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Bailey |
| EMPLOYER POC FIRST NAME | Jonathan |
| EMPLOYER POC MIDDLE NAME | C. |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 707 S. Roland Street |
| EMPLOYER POC CITY | Spearman |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 79081 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18066595858 |
| EMPLOYER POC EMAIL | jonathanbailey@hchd.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sutherland |
| AGENT ATTORNEY FIRST NAME | Emma |
| AGENT ATTORNEY MIDDLE NAME | Jane |
| AGENT ATTORNEY ADDRESS1 | PO Box 5279 |
| AGENT ATTORNEY CITY | Herndon |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20172 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17038850638 |
| AGENT ATTORNEY EMAIL ADDRESS | esutherland@salvettilaw.com |
| LAWFIRM NAME BUSINESS NAME | The Salvetti Law Group, PLLC |
| STATE OF HIGHEST COURT | VA |
|
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 707 S. Roland Street |
| LCA CASE WORKLOC1 CITY | Spearman |
| WORKSITE COUNTY | HANSFORD |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 79081 |
| LCA CASE WAGE RATE FROM | 25.75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 21.28 |
| PW UNIT OF PAY | Hour |
| 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 |
