| LCA CASE NUMBER | I-202-21138-322725 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-18 |
| DECISION DATE | 2021-05-25 |
| VISA CLASS | H-1B1 Singapore |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-01 |
| END DATE | 2023-01-28 |
| 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 | Fairview Health Services |
| EMPLOYER ADDRESS1 | 2450 Riverside Avenue South |
| EMPLOYER CITY | Minneapolis |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55454 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16126727272 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Ludick |
| EMPLOYER POC FIRST NAME | Margaret |
| EMPLOYER POC JOB TITLE | Provider Recruitment Specialist |
| EMPLOYER POC ADDRESS 1 | 2450 Riverside Avenue |
| EMPLOYER POC CITY | Minneapolis |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55454 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16514919198 |
| EMPLOYER POC EMAIL | mludik1@fairview.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Webber |
| AGENT ATTORNEY FIRST NAME | Robert |
| AGENT ATTORNEY ADDRESS1 | 50 South Sixth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124926715 |
| AGENT ATTORNEY EMAIL ADDRESS | webber.robert@dorsey.com |
| LAWFIRM NAME BUSINESS NAME | Dorsey & Whitney LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Minnesota |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2450 Riverside Avenue |
| LCA CASE WORKLOC1 CITY | Minneapolis |
| WORKSITE COUNTY | HENNEPIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55454 |
| LCA CASE WAGE RATE FROM | 254259 |
| LCA CASE WAGE RATE TO | 280000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 228862 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kleven |
| PREPARER FIRST NAME | Jennifer |
| PREPARER BUSINESS NAME | Dorsey Whitney LLP |
| PREPARER EMAIL | kleven.jennifer@dorsey.com |
