| LCA CASE NUMBER | I-200-23119-977778 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-28 |
| DECISION DATE | 2023-05-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Registered Nurse |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| 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 | South Peninsula Hospital, Inc. |
| EMPLOYER ADDRESS1 | 4300 Bartlett St |
| EMPLOYER CITY | Homer |
| EMPLOYER STATE | AK |
| EMPLOYER POSTAL CODE | 99603 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19072350265 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Froese |
| EMPLOYER POC FIRST NAME | Stacy |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 4300 Bartlett St |
| EMPLOYER POC CITY | Homer |
| EMPLOYER POC STATE | AK |
| EMPLOYER POC POSTAL CODE | 99603 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19072350265 |
| EMPLOYER POC EMAIL | sfroese@sphosp.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peng |
| AGENT ATTORNEY FIRST NAME | Leo |
| AGENT ATTORNEY ADDRESS1 | 1111 3rd Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 3000 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12064474400 |
| AGENT ATTORNEY EMAIL ADDRESS | immgroup@foster.com |
| LAWFIRM NAME BUSINESS NAME | Foster Garvey PC |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4300 Bartlett St |
| LCA CASE WORKLOC1 CITY | Homer |
| WORKSITE COUNTY | KENAI PENINSULA |
| LCA CASE WORKLOC1 STATE | AK |
| WORKSITE POSTAL CODE | 99603 |
| LCA CASE WAGE RATE FROM | 48.86 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 48.86 |
| PW UNIT OF PAY | Hour |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Borroff |
| PREPARER FIRST NAME | Silviya |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Foster Garvey PC |
| PREPARER EMAIL | immgroup@foster.com |
