| LCA CASE NUMBER | I-200-17293-472491 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 10/23/17 |
| DECISION DATE | 10/27/17 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/1/18 |
| EMPLOYMENT END DATE | 12/31/20 |
| LCA CASE EMPLOYER NAME | THIRD STREET COMMUNITY CLINIC, INC. |
| EMPLOYER BUSINESS DBA | THIRD STREET FAMILY HEALTH SERVICES |
| EMPLOYER ADDRESS | 600 WEST THIRD STREET |
| EMPLOYER CITY | MANSFIELD |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44906 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4195226191 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | JOLIC, MICHAEL |
| AGENT ATTORNEY CITY | INDEPENDENCE |
| AGENT ATTORNEY STATE | OH |
| LCA CASE JOB TITLE | DENTIST (PROSTHODONTIST) |
| SOC CODE | 29-1029 |
| SOC NAME | DENTISTS, ALL OTHER SPECIALISTS |
| NAICS CODE | 6211 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 66.30 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level II |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 66.30 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | MANSFIELD |
| WORKSITE COUNTY | RICHLAND |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44906 |
