| LCA CASE NUMBER | I-200-24302-437332 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2024-10-28 |
| DECISION DATE | 2025-05-21 |
| ORIGINAL CERT DATE | 2024-11-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Registered Nurse (Emergency Room/Surgery) |
| SOC CODE | 29-1141 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-12-01 |
| END DATE | 2027-11-30 |
| 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 | East Phillips County Hospital District |
| TRADE NAME DBA | Melissa Memorial Hospital Corporation |
| EMPLOYER ADDRESS1 | 1001 S. Johnson Street |
| EMPLOYER CITY | Holyoke |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80734 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18778295500 |
| EMPLOYER FEIN | 74-3173873 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Baeza-Dizmang |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC JOB TITLE | HR/Payroll Specialist |
| EMPLOYER POC ADDRESS1 | 1001 E. Johnson St |
| EMPLOYER POC CITY | Holyoke |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80734 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19708542241 |
| EMPLOYER POC PHONE EXT | 2025 |
| EMPLOYER POC EMAIL | Jessica.Baeza@melissamemorial.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | WILDES |
| AGENT ATTORNEY FIRST NAME | MICHAEL |
| AGENT ATTORNEY MIDDLE NAME | JAY |
| AGENT ATTORNEY ADDRESS1 | 515 MADISON AVENUE |
| AGENT ATTORNEY ADDRESS2 | 6th Floor |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10022 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127533468 |
| AGENT ATTORNEY EMAIL ADDRESS | mjwlca@wildesweinberg.com |
| LAWFIRM NAME BUSINESS NAME | WILDES & WEINBERG P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1001 S. Johnson Street |
| LCA CASE WORKLOC1 CITY | Holyoke |
| WORKSITE COUNTY | PHILLIPS |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 80734 |
| LCA CASE WAGE RATE FROM | 39 |
| LCA CASE WAGE RATE TO | 60 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 36.03 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Anderson |
| PREPARER FIRST NAME | Nora |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Wildes & Weinberg P.C. |
| PREPARER EMAIL | nora@wildeslaw.com |