| LCA CASE NUMBER | I-200-18074-714779 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/16/18 |
| DECISION DATE | 3/22/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/15/18 |
| EMPLOYMENT END DATE | 9/15/21 |
| LCA CASE EMPLOYER NAME | CANTON-POTSDAM HOSPITAL |
| EMPLOYER ADDRESS | 50 LEROY STREET |
| EMPLOYER CITY | POTSDAM |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13676 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 3152616018 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | GIBBONS, THERESA |
| AGENT ATTORNEY CITY | SARATOGA SPRINGS |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | PHYSICIAN ASSISTANT |
| SOC CODE | 29-1071 |
| SOC NAME | PHYSICIAN ASSISTANTS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 98,363.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 113,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | POTSDAM |
| WORKSITE COUNTY | ST. LAWRENCE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13676 |
