| LCA CASE NUMBER | I-200-24278-385934 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-10-04 |
| DECISION DATE | 2024-10-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-04-05 |
| END DATE | 2028-04-04 |
| 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 | Edward W. Sparrow Hospital Association |
| EMPLOYER ADDRESS1 | 1200 E. Michigan Ave. |
| EMPLOYER ADDRESS2 | Suite 340 |
| EMPLOYER CITY | Lansing |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48912 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15173645140 |
| EMPLOYER FEIN | 38-1360584 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Rothenberger |
| EMPLOYER POC FIRST NAME | Brandy |
| EMPLOYER POC MIDDLE NAME | L. |
| EMPLOYER POC JOB TITLE | Senior Paralegal, Legal Services |
| EMPLOYER POC ADDRESS1 | 1400 E. Michigan Avenue |
| EMPLOYER POC CITY | Lansing |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48912 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15173645140 |
| EMPLOYER POC EMAIL | brandy.rothenberger@UMHSsparrow.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wooley |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | E. |
| AGENT ATTORNEY ADDRESS1 | 333 Bridge Street NW |
| AGENT ATTORNEY CITY | Grand Rapids |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49504 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16163366912 |
| AGENT ATTORNEY EMAIL ADDRESS | mewooley@varnumlaw.com |
| LAWFIRM NAME BUSINESS NAME | Varnum LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court of Michigan |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1215 East Michigan Avenue |
| LCA CASE WORKLOC1 CITY | Lansing |
| WORKSITE COUNTY | INGHAM |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48912 |
| LCA CASE WAGE RATE FROM | 129188 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 125424 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 and Employment |
| PREPARER LAST NAME | Wooley |
| PREPARER FIRST NAME | Michael |
| PREPARER MIDDLE INITIAL | E. |
| PREPARER BUSINESS NAME | Varnum LLP |
| PREPARER EMAIL | mewooley@varnumlaw.com |