| LCA CASE NUMBER | I-200-18099-914969 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/16/18 |
| DECISION DATE | 4/20/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/1/18 |
| EMPLOYMENT END DATE | 9/30/21 |
| LCA CASE EMPLOYER NAME | JEFFERSON COMMINITY HEALTH CENTER INC., D/B/A |
| EMPLOYER BUSINESS DBA | JEFFERSON COMMUNITY HEALTH & LIFE |
| EMPLOYER ADDRESS | 2200 H STREET |
| EMPLOYER CITY | FAIRBURY |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68352 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4027293351 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | STOCKDALE, KARA |
| AGENT ATTORNEY CITY | OMAHA |
| AGENT ATTORNEY STATE | NE |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 24.88 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level II |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 24.88 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | FAIRBURY |
| WORKSITE COUNTY | JEFFERSON |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68352 |
