| LCA CASE NUMBER | I-200-20023-271689 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-23 |
| DECISION DATE | 2020-01-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-30 |
| END DATE | 2023-01-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Sweet Smiles Family Dentistry, LLC |
| EMPLOYER ADDRESS1 | 1300 Bridge St. |
| EMPLOYER CITY | Grafton |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53024 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12623770807 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Gorantla |
| EMPLOYER POC FIRST NAME | Pavan |
| EMPLOYER POC JOB TITLE | Operations Manager |
| EMPLOYER POC ADDRESS1 | 1300 Bridge St. |
| EMPLOYER POC CITY | Grafton |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53024 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12623770807 |
| EMPLOYER POC EMAIL | pavan.g@sweetsmileswi.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Shihab |
| AGENT ATTORNEY FIRST NAME | Sam |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 565 Metro Place South |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Dublin |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16147910500.0 |
| AGENT ATTORNEY PHONE EXT | 225.0 |
| AGENT ATTORNEY EMAIL ADDRESS | govnotice@shihablawoffice.com |
| LAWFIRM NAME BUSINESS NAME | Sam Shihab & Associates, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3113 S 13th St. |
| LCA CASE WORKLOC1 CITY | Milwaukee |
| WORKSITE COUNTY | MILWAUKEE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53215 |
| LCA CASE WAGE RATE FROM | 188000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 170061.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Shihab |
| PREPARER FIRST NAME | Sam |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Sam Shihab & Associates, LLC |
| PREPARER EMAIL | govnotice@shihablawoffice.com |
