| LCA CASE NUMBER | I-200-18064-782430 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/16/18 |
| DECISION DATE | 3/22/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/1/18 |
| EMPLOYMENT END DATE | 8/25/21 |
| LCA CASE EMPLOYER NAME | KELLYN W. HODGES, DMD, MS, PC. |
| EMPLOYER ADDRESS | 1365 FENIMORE LANE |
| EMPLOYER CITY | GLADWYNE |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19035 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6106457640 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KIM, YEON |
| AGENT ATTORNEY CITY | WOBURN |
| AGENT ATTORNEY STATE | MA |
| LCA CASE JOB TITLE | ORTHODONTIST |
| SOC CODE | 29-1023 |
| SOC NAME | ORTHODONTISTS |
| NAICS CODE | 621210 |
| 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 | Y |
| PREVAILING WAGE | 100.00 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | N/A |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 100.00 |
| 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 | BALA CYNWYD |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19004 |
