| LCA CASE NUMBER | I-200-22129-150893 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-09 |
| DECISION DATE | 2022-05-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Practice Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-05-15 |
| END DATE | 2025-05-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | ThedaCare, Inc. |
| EMPLOYER ADDRESS1 | 3 Neenah Center |
| EMPLOYER CITY | Neenah |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54956 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19202245550 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Kallstrom |
| EMPLOYER POC FIRST NAME | Laura |
| EMPLOYER POC JOB TITLE | Dir. of Physician and Adv. Practice Clinician Recruitment |
| EMPLOYER POC ADDRESS1 | Three Neenah Center |
| EMPLOYER POC CITY | Neenah |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54956 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19202245550 |
| EMPLOYER POC EMAIL | laura.kallstrom@thedacare.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Santa Maria |
| AGENT ATTORNEY FIRST NAME | Monica |
| AGENT ATTORNEY ADDRESS1 | 354 W. Main St. |
| AGENT ATTORNEY CITY | Madison |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53703 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16082573152 |
| AGENT ATTORNEY EMAIL ADDRESS | admin@santamaria-legal.com |
| LAWFIRM NAME BUSINESS NAME | Santa Maria Law Office, LLC |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Supreme Court of Wisconsin |
| WORKSITE WORKERS | 1 |
|
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 333 North Green Bay Road |
| LCA CASE WORKLOC1 CITY | Neenah |
| WORKSITE COUNTY | WINNEBAGO |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54956 |
| LCA CASE WAGE RATE FROM | 72.62 |
| LCA CASE WAGE RATE TO | 135 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 72.62 |
| PW UNIT OF PAY | Hour |
| 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 |
