| LCA CASE NUMBER | I-200-24101-872224 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2024-04-10 |
| DECISION DATE | 2024-08-22 |
| ORIGINAL CERT DATE | 2024-04-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Development Analyst |
| SOC CODE | 15-1295 |
| SOC TITLE | Software Developers, Non R&D |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-09-06 |
| END DATE | 2027-09-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | William Beaumont Hospital |
| TRADE NAME DBA | Corewell Health William Beaumont University Hospital |
| EMPLOYER ADDRESS1 | 444 Michigan Street NE -- MC50 |
| EMPLOYER CITY | Grand Rapids |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49503 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16163813963 |
| EMPLOYER FEIN | 38-1459362 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Jenkins |
| EMPLOYER POC FIRST NAME | Angela |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Senior Counsel |
| EMPLOYER POC ADDRESS1 | 444 Michigan Street NE |
| EMPLOYER POC CITY | Grand Rapids |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49503 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16163913963 |
| EMPLOYER POC EMAIL | angela.jenkins@corewellhealth.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 20965 Gidran Drive |
| LCA CASE WORKLOC1 CITY | South Lyon |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48178 |
| LCA CASE WAGE RATE FROM | 90854 |
| LCA CASE WAGE RATE TO | 125153.6 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 90854 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |