| LCA CASE NUMBER | I-200-20213-746374 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-31 |
| DECISION DATE | 2020-08-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-01-29 |
| END DATE | 2024-01-28 |
| 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 | Rural Health Resources of Jackson County Inc |
| TRADE NAME DBA | Holton Community Hospital |
| EMPLOYER ADDRESS1 | 1110 Columbine Drive |
| EMPLOYER CITY | Holton |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 66436 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17853649646 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Saia |
| EMPLOYER POC FIRST NAME | Carrie |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1110 Columbine Drive |
| EMPLOYER POC CITY | Holton |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 66436 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17853649646 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Berner |
| AGENT ATTORNEY FIRST NAME | Donald |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 1551 N Waterfront Pkwy, Ste. 100 |
| AGENT ATTORNEY CITY | Wichita |
| AGENT ATTORNEY STATE | KS |
| AGENT ATTORNEY POSTAL CODE | 67206 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13162919738.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Foulston Siefkin LLP |
| STATE OF HIGHEST COURT | KS |
| NAME OF HIGHEST STATE COURT | Supreme Court of Kansas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1110 Columbine Drive |
| LCA CASE WORKLOC1 CITY | Holton |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 66436 |
| LCA CASE WAGE RATE FROM | 24.87 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 21.02 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Berner |
| PREPARER FIRST NAME | Donald |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Foulston Siefkin LLP |
| PREPARER EMAIL | [email protected] |
