| LCA CASE NUMBER | I-200-24190-179365 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-07-08 |
| DECISION DATE | 2024-07-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-08-01 |
| END DATE | 2027-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Sarah Bush Lincoln Health System |
| EMPLOYER ADDRESS1 | 1000 Health Center Drive |
| EMPLOYER CITY | Mattoon |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61938 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12172582356 |
| EMPLOYER FEIN | 23-7098532 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Denise |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | Director - Human Resources |
| EMPLOYER POC ADDRESS1 | 1000 Health Center Drive |
| EMPLOYER POC CITY | Mattoon |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61938 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12172582356 |
| EMPLOYER POC EMAIL | dsmith@sblhs.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wagreich |
| AGENT ATTORNEY FIRST NAME | Ian |
| AGENT ATTORNEY MIDDLE NAME | David |
| AGENT ATTORNEY ADDRESS1 | 151 N. Franklin St. |
| AGENT ATTORNEY ADDRESS2 | Ste. 2500 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13127043868 |
| AGENT ATTORNEY EMAIL ADDRESS | iwagreich@hinshawlaw.com |
| LAWFIRM NAME BUSINESS NAME | Hinshaw & Culbertson LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1000 Health Center Drive |
| LCA CASE WORKLOC1 CITY | Mattoon |
| WORKSITE COUNTY | COLES |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61938 |
| LCA CASE WAGE RATE FROM | 99424 |
| LCA CASE WAGE RATE TO | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 99424 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |