| LCA CASE NUMBER | I-200-17088-376057 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/29/2017 |
| DECISION DATE | 4/4/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/18/2017 |
| EMPLOYMENT END DATE | 9/18/2020 |
| LCA CASE EMPLOYER NAME | LAKEWOOD FAMILY DENTAL, INC |
| EMPLOYER ADDRESS | 4512 PARNELL AVENUE |
| EMPLOYER CITY | FORT WAYNE |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46825 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2603991333 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BANERJEE, ANNIE |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| LCA CASE JOB TITLE | DENTAL SERVICE MANAGER |
| SOC CODE | 11-9111 |
| SOC NAME | MEDICAL AND HEALTH SERVICES MANAGERS |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 54,122.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 54,200.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | FORT WAYNE |
| WORKSITE COUNTY | ALLEN |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46825 |
