| LCA CASE NUMBER | I-200-23230-275959 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-18 |
| DECISION DATE | 2023-08-25 |
| 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 | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-28 |
| END DATE | 2026-08-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Daviess County Hospital |
| TRADE NAME DBA | Daviess Community Hospital |
| EMPLOYER ADDRESS1 | 1314 E. Walnut Street |
| EMPLOYER CITY | Washington |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18122546760 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Petty |
| EMPLOYER POC FIRST NAME | Jamie |
| EMPLOYER POC MIDDLE NAME | W |
| EMPLOYER POC JOB TITLE | HR Business Partner |
| EMPLOYER POC ADDRESS1 | 1314 E. Walnut St |
| EMPLOYER POC CITY | Washington |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18122542760 |
| EMPLOYER POC PHONE EXT | 1132 |
| EMPLOYER POC EMAIL | jpetty@dchosp.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Baesler, Jr. |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY MIDDLE NAME | Richard |
| AGENT ATTORNEY ADDRESS1 | 300 West Vine Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 2100 |
| AGENT ATTORNEY CITY | Lexington |
| AGENT ATTORNEY STATE | KY |
| AGENT ATTORNEY POSTAL CODE | 40507 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18592313944 |
| AGENT ATTORNEY EMAIL ADDRESS | charles.baesler@skofirm.com |
| LAWFIRM NAME BUSINESS NAME | Stoll Keenon Ogden PLLC |
| STATE OF HIGHEST COURT | KY |
| NAME OF HIGHEST STATE COURT | Kentucky Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1314 E. Walnut St |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | DAVIESS |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47501 |
| LCA CASE WAGE RATE FROM | 21.11 |
| LCA CASE WAGE RATE TO | 29.58 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 21.11 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Lui |
| PREPARER FIRST NAME | Lisa |
| PREPARER MIDDLE INITIAL | W |
| PREPARER BUSINESS NAME | Stoll Keenon Ogden PLLC |
| PREPARER EMAIL | lisa.lui@skofirm.com |