| LCA CASE NUMBER | I-200-20086-437321 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-26 |
| DECISION DATE | 2020-04-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Registered Nurse |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-10 |
| END DATE | 2023-09-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Good Samaritan Medical Center |
| EMPLOYER ADDRESS1 | 1900 NORTH PEARL STREET |
| EMPLOYER ADDRESS2 | SUITE 2400 |
| EMPLOYER CITY | DALLAS |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16178231634 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Munroe |
| EMPLOYER POC FIRST NAME | Bethany |
| EMPLOYER POC JOB TITLE | Human Resources Advisor |
| EMPLOYER POC ADDRESS1 | 824 Oak Street |
| EMPLOYER POC ADDRESS2 | Suite 103 |
| EMPLOYER POC CITY | Brockton |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15084273567 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PIMENTEL |
| AGENT ATTORNEY FIRST NAME | STEPHANIE |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 265 FRANKLIN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 502 |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16177028693.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | BERRY APPLEMAN & LEIDEN LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 235 N Pearl Street |
| LCA CASE WORKLOC1 CITY | Brockton |
| WORKSITE COUNTY | BROCKTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2301 |
| LCA CASE WAGE RATE FROM | 36.68 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 31.38 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Lee |
| PREPARER FIRST NAME | Elizabeth |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Berry Appleman & Leiden LLP |
| PREPARER EMAIL | [email protected] |
