| LCA CASE NUMBER | I-200-22318-584724 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-11-14 |
| DECISION DATE | 2022-11-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-12-12 |
| END DATE | 2025-12-11 |
| 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 | StayWell Health Care, Inc. |
| EMPLOYER ADDRESS1 | 80 Phoenix Avenue |
| EMPLOYER ADDRESS2 | Suite 201 |
| EMPLOYER CITY | Waterbury |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06702 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12037568021 |
| NAICS CODE | 62139 |
| EMPLOYER POC LAST NAME | Tripp |
| EMPLOYER POC FIRST NAME | Lynn |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 80 Phoenix Avenue |
| EMPLOYER POC ADDRESS2 | Suite 201 |
| EMPLOYER POC CITY | Waterbury |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06702 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12038054921 |
| EMPLOYER POC EMAIL | ltripp@staywellhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hopwood |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY MIDDLE NAME | Meris |
| AGENT ATTORNEY ADDRESS1 | 195 Church Street |
| AGENT ATTORNEY ADDRESS2 | Floor 18 |
| AGENT ATTORNEY CITY | New Haven |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12037843104 |
|
| AGENT ATTORNEY EMAIL ADDRESS | lhopwood@carmodylaw.com |
| LAWFIRM NAME BUSINESS NAME | Carmody Torrance Sandak & Hennessey LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Connecticut Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 30 Church Street |
| LCA CASE WORKLOC1 CITY | Naugatuck |
| WORKSITE COUNTY | NEW HAVEN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06770 |
| LCA CASE WAGE RATE FROM | 88 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 65.57 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | El-Hashem |
| PREPARER FIRST NAME | Anthony |
| PREPARER MIDDLE INITIAL | F. |
| PREPARER BUSINESS NAME | Carmody Torrance Sandak & Hennessey LLP |
| PREPARER EMAIL | ael-hashem@carmodylaw.com |
