| LCA CASE NUMBER | I-200-20133-564593 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-12 |
| DECISION DATE | 2020-05-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 19-1042.00 |
| SOC TITLE | Medical Scientists, Except Epidemiologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| 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 | Windsor Hospital Corporation |
| TRADE NAME DBA | Mt. Ascutney Hospital and Health Center |
| EMPLOYER ADDRESS1 | 289 County Road |
| EMPLOYER CITY | Windsor |
| EMPLOYER STATE | VT |
| EMPLOYER POSTAL CODE | 5089 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18026747001 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Perras |
| EMPLOYER POC FIRST NAME | Joseph |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 289 County Road |
| EMPLOYER POC CITY | Windsor |
| EMPLOYER POC STATE | VT |
| EMPLOYER POC POSTAL CODE | 5809 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18026747001 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Novak |
| AGENT ATTORNEY FIRST NAME | Francis |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1600 Bausch and Lomb Place |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15852311406.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Harter Secrest and Emery LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 289 County Road |
| LCA CASE WORKLOC1 CITY | Windsor |
| WORKSITE COUNTY | WINDSOR |
| LCA CASE WORKLOC1 STATE | VT |
| WORKSITE POSTAL CODE | 5089 |
| LCA CASE WAGE RATE FROM | 58386.0 |
| LCA CASE WAGE RATE TO | 238386.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 58386.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
