| LCA CASE NUMBER | I-200-22171-298057 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-06-20 |
| DECISION DATE | 2022-06-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-11 |
| END DATE | 2025-07-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Canton-Potsdam Hospital |
| EMPLOYER ADDRESS1 | 50 Leroy St. |
| EMPLOYER CITY | Potsdam |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13676 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | St. Lawrence County |
| EMPLOYER PHONE | 13152616048 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Slaga |
| EMPLOYER POC FIRST NAME | Jeremy |
| EMPLOYER POC MIDDLE NAME | J |
| EMPLOYER POC JOB TITLE | SVP of Administration/Chief Counsel |
| EMPLOYER POC ADDRESS1 | 50 Leroy St. |
| EMPLOYER POC CITY | Potsdam |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13676 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13152616048 |
| EMPLOYER POC EMAIL | jslaga@cphospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wang |
| AGENT ATTORNEY FIRST NAME | Lu |
| AGENT ATTORNEY ADDRESS1 | 333 West Washington Street |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Syracuse |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 13202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13152142023 |
| AGENT ATTORNEY EMAIL ADDRESS | syrimmigration@HarrisBeach.com |
| LAWFIRM NAME BUSINESS NAME | Harris Beach PLLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 50 Leroy Street |
| LCA CASE WORKLOC1 CITY | Potsdam |
| WORKSITE COUNTY | ST LAWRENCE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13676 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 410000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 | Pederson |
| PREPARER FIRST NAME | Natasha |
| PREPARER BUSINESS NAME | Harris Beach PLLC |
| PREPARER EMAIL | npederson@harrisbeach.com |