| LCA CASE NUMBER | I-200-20223-760630 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-10 |
| DECISION DATE | 2020-08-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Obstetrician/Gynecologist |
| SOC CODE | 29-1064.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2021-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Montgomery County Memorial Hospital |
| EMPLOYER ADDRESS1 | 2301 Eastern Avenue |
| EMPLOYER CITY | Red Oak |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 51566 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17126237000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Abercrombie |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC MIDDLE NAME | n/m/n |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 2301 Eastern Avenue |
| EMPLOYER POC CITY | Red Oak |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 51566 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17126237141 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Stockdale |
| AGENT ATTORNEY FIRST NAME | Kara |
| AGENT ATTORNEY MIDDLE NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | 1700 Farnam Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023440500.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Baird Holm LLP |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | NEBRASKA Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Cass County Health System |
| WORKSITE ADDRESS1 | 1501 East 10th Street |
| LCA CASE WORKLOC1 CITY | Atlantic |
| WORKSITE COUNTY | CASS |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 50022 |
| LCA CASE WAGE RATE FROM | 350000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| 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 | Stockdale |
| PREPARER FIRST NAME | Kara |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Baird Holm LLP |
| PREPARER EMAIL | [email protected] |
