| LCA CASE NUMBER | I-200-20266-839162 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-22 |
| DECISION DATE | 2020-09-29 |
| 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 | 2021-03-23 |
| END DATE | 2024-03-22 |
| 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 | Kittson Memorial Hospital Corporation |
| EMPLOYER ADDRESS1 | 1010 South Birch Avenue |
| EMPLOYER CITY | Hallock |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56728 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12188433612 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Schwenzfeier |
| EMPLOYER POC FIRST NAME | Jeni |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 1010 South Birch Avenue |
| EMPLOYER POC CITY | Hallock |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 56728 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12188433802 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Anderson |
| AGENT ATTORNEY FIRST NAME | Nora |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 441 Vine Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3200 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133818014.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Hammond Law Group |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1010 South Birch Avenue |
| LCA CASE WORKLOC1 CITY | Hallock |
| WORKSITE COUNTY | KITTSON |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56728 |
| LCA CASE WAGE RATE FROM | 25.38 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 23.94 |
| 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 | Pressley |
| PREPARER FIRST NAME | Brock |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Hammond Neal Moore LLC. |
| PREPARER EMAIL | [email protected] |
