| LCA CASE NUMBER | I-200-22133-168893 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-13 |
| DECISION DATE | 2022-05-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-12 |
| END DATE | 2023-07-11 |
| 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 | The William W. Backus Hospital |
| EMPLOYER ADDRESS1 | 326 Washington Street |
| EMPLOYER CITY | Norwich |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06360 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18608898831 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Schenking |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC JOB TITLE | Human Resources Business Partner |
| EMPLOYER POC ADDRESS1 | 326 Washington Street |
| EMPLOYER POC CITY | Norwich |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06360 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18608926967 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Harper |
| AGENT ATTORNEY FIRST NAME | Bradley |
| AGENT ATTORNEY MIDDLE NAME | Mark |
| AGENT ATTORNEY ADDRESS1 | One Constitution Plaza |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602515018 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Shipman & Goodwin LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | The William W. Backus Hospital |
| WORKSITE ADDRESS2 | 326 Washington Street |
| LCA CASE WORKLOC1 CITY | Norwich |
| WORKSITE COUNTY | NEW LONDON CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06360 |
| LCA CASE WAGE RATE FROM | 236000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 118102 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Castillo |
| PREPARER FIRST NAME | Fabiola |
| PREPARER BUSINESS NAME | Shipman & Goodwin LLP |
| PREPARER EMAIL | [email protected] |
