| LCA CASE NUMBER | I-200-21029-042950 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-29 |
| DECISION DATE | 2021-02-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Orthopedic Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-15 |
| END DATE | 2024-02-14 |
| 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 | Pratt Regional Medical Center Inc |
| EMPLOYER ADDRESS1 | 200 Commodore |
| EMPLOYER CITY | Pratt |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67124 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16206727451 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Page |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 200 Commodore |
| EMPLOYER POC CITY | Pratt |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67124 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16206727451 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| 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 | 67206-4466 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13162919738 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Foulston Siefkin LLP |
| STATE OF HIGHEST COURT | KS |
| NAME OF HIGHEST STATE COURT | Kansas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 200 Commodore |
| LCA CASE WORKLOC1 CITY | Pratt |
| WORKSITE COUNTY | PRATT |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67124 |
| LCA CASE WAGE RATE FROM | 500000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Berner |
| PREPARER FIRST NAME | Donald |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Foulston Siefkin LLP |
| PREPARER EMAIL | [email protected] |
