| LCA CASE NUMBER | I-200-20035-298246 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-04 |
| DECISION DATE | 2020-02-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Practice Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Covenant Medical Center, Inc. |
| EMPLOYER ADDRESS1 | 3421 W. 9th Street |
| EMPLOYER CITY | Waterloo |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50702 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13192728000 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Meyer |
| EMPLOYER POC FIRST NAME | Ryan |
| EMPLOYER POC JOB TITLE | Vice President of Operations |
| EMPLOYER POC ADDRESS1 | 3421 W. 9th Street |
| EMPLOYER POC CITY | Waterloo |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 50702 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13192728000 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Fortier |
| AGENT ATTORNEY FIRST NAME | Kelly |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 100 E. Wisconsin Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14142716560.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Michael Best & Friedrich LLP |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2710 St. Francis Drive, Suite 210 |
| WORKSITE ADDRESS2 | MercyOne Waterloo Family Medicine |
| LCA CASE WORKLOC1 CITY | Waterloo |
| WORKSITE COUNTY | BLACK HAWK |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 50702 |
| LCA CASE WAGE RATE FROM | 232581.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 215363.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Zuba |
| PREPARER FIRST NAME | Jessica |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | Michael Best & Friedrich LLP |
| PREPARER EMAIL | [email protected] |
