| LCA CASE NUMBER | I-200-18100-740953 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/10/18 |
| DECISION DATE | 4/16/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/27/18 |
| EMPLOYMENT END DATE | 7/26/21 |
| LCA CASE EMPLOYER NAME | JACK COUNTY HOSPITAL HOSPITAL DISTRICT |
| EMPLOYER BUSINESS DBA | FAITH COMMUNITY HOSPITAL |
| EMPLOYER ADDRESS | 215 CHISOLM TRAIL |
| EMPLOYER CITY | JACKSBORO |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76458 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9405676633 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | HAOS, JOSELITO |
| AGENT ATTORNEY CITY | LUBBOCK |
| AGENT ATTORNEY STATE | TX |
| 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 | 22.25 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 25.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | JACKSBORO |
| WORKSITE COUNTY | JACK |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76458 |
