| LCA CASE NUMBER | I-200-17275-722916 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 10/5/17 |
| DECISION DATE | 10/12/17 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/9/17 |
| EMPLOYMENT END DATE | 10/9/20 |
| LCA CASE EMPLOYER NAME | FAMILIA DENTAL MADISON WEST LLC |
| EMPLOYER ADDRESS | 706 S. GAMMON RD |
| EMPLOYER CITY | MADISON |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53719 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8479153019 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MARONEY, JACQUELYN |
| AGENT ATTORNEY CITY | AUSTIN |
| AGENT ATTORNEY STATE | TX |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 131,560.00 |
| 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 | 156,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | MADISON |
| WORKSITE COUNTY | DANE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53719 |
