| LCA CASE NUMBER | I-203-21114-255795 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-23 |
| DECISION DATE | 2021-04-30 |
| VISA CLASS | E-3 Australian |
| LCA CASE JOB TITLE | Registered Nurse |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-26 |
| END DATE | 2023-04-25 |
| 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 | Beth Israel Deaconess Hospital - Needham, Inc. |
| EMPLOYER ADDRESS1 | 148 Chestnut Street |
| EMPLOYER CITY | Needham |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2492 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17814534501 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Welch |
| EMPLOYER POC FIRST NAME | Julie |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | Sr. Director of Human Resources |
| EMPLOYER POC ADDRESS 1 | 148 Chestnut Street |
| EMPLOYER POC CITY | Needham |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02492 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17814534501 |
| EMPLOYER POC EMAIL | jawelch@bidneedham.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Travers |
| AGENT ATTORNEY FIRST NAME | Maura |
| AGENT ATTORNEY MIDDLE NAME | K. |
| AGENT ATTORNEY ADDRESS1 | 2 Seaport Lane - Seaport East |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2210 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16179464814 |
| AGENT ATTORNEY EMAIL ADDRESS | bmokrzycki@seyfarth.com |
| LAWFIRM NAME BUSINESS NAME | Seyfarth Shaw LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 148 Chestnut Street |
| LCA CASE WORKLOC1 CITY | Needham |
| WORKSITE COUNTY | NORFOLK |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2492 |
| LCA CASE WAGE RATE FROM | 31.82 |
| LCA CASE WAGE RATE TO | 39.11 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 31.82 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 | Mokrzycki |
| PREPARER FIRST NAME | Brady |
| PREPARER BUSINESS NAME | Seyfarth Shaw LLP |
| PREPARER EMAIL | bmokrzycki@seyfarth.com |
