| LCA CASE NUMBER | I-200-17057-266384 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/1/2017 |
| DECISION DATE | 3/7/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/27/2017 |
| EMPLOYMENT END DATE | 6/26/2020 |
| LCA CASE EMPLOYER NAME | PASSAVANT PHYSICIAN ASSOCIATION, INC. |
| EMPLOYER ADDRESS | 1600 WEST WALNUT STREET |
| EMPLOYER CITY | JACKSONVILLE |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62650 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2172459541 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SHERMAN, MICHAEL |
| AGENT ATTORNEY CITY | WEST BLOOMFIELD |
| AGENT ATTORNEY STATE | MI |
| LCA CASE JOB TITLE | CLINICAL PSYCHIATRIST |
| SOC CODE | 29-1066 |
| SOC NAME | PSYCHIATRISTS |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 209,373.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 240,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | JACKSONVILLE |
| WORKSITE COUNTY | MORGAN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62650 |
