| LCA CASE NUMBER | I-200-18183-510016 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 7/3/18 |
| DECISION DATE | 7/10/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/9/18 |
| EMPLOYMENT END DATE | 7/9/21 |
| LCA CASE EMPLOYER NAME | WAUPUN MEMORIAL HOSPITAL, INC. |
| EMPLOYER ADDRESS | 620 WEST BROWN STREET |
| EMPLOYER CITY | WAUPUN |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53963 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9209265409 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MUELLER, BERNHARD |
| AGENT ATTORNEY CITY | COLUMBIA |
| AGENT ATTORNEY STATE | SC |
| LCA CASE JOB TITLE | EMERGENCY MEDICINE PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 100.00 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | N/A |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 158.28 |
| LCA CASE WAGE RATE TO | 237.44 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | WAUPUN |
| WORKSITE COUNTY | DODGE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53963 |
