| LCA CASE NUMBER | I-200-16047-507850 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/22/16 |
| DECISION DATE | 2/26/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/22/16 |
| EMPLOYMENT END DATE | 8/21/19 |
| LCA CASE EMPLOYER NAME | SHELBY MEMORIAL HOSPITAL ASSOCIATION, INC. |
| EMPLOYER ADDRESS | 200 SOUTH CEDAR STREET |
| EMPLOYER CITY | SHELBYVILLE |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62565 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2177743961 |
| AGENT ATTORNEY NAME | TOBIAS, GEOFFREY |
| AGENT ATTORNEY CITY | BALTIMORE |
| AGENT ATTORNEY STATE | MD |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 38,709.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 38,710.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | SHELBYVILLE |
| WORKSITE COUNTY | SHELBY |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62565 |
