| LCA CASE NUMBER | I-200-16271-117776 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 9/27/2016 |
| DECISION DATE | 10/3/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/20/2017 |
| EMPLOYMENT END DATE | 1/20/2020 |
| LCA CASE EMPLOYER NAME | MORTENSON FAMILIY DENTAL HOLDINGS, INC. |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 134 N. EVERGREEN ROAD |
| EMPLOYER CITY | LOUISVILLE |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 40243 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5022548514 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KREBS, GLEN |
| AGENT ATTORNEY CITY | LEXINGTON |
| AGENT ATTORNEY STATE | KY |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 161,866.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 161,866.00 |
| LCA CASE WAGE RATE TO | 193,918.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | CRESTWOOD |
| WORKSITE COUNTY | OLDHAM |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 40014 |
