| LCA CASE NUMBER | I-200-20044-319698 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-12 |
| DECISION DATE | 2020-02-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-13 |
| END DATE | 2023-08-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Familia Dental SPFW PLLC |
| EMPLOYER ADDRESS1 | 100 East Pettit Avenue |
| EMPLOYER ADDRESS2 | Ste 1A |
| EMPLOYER CITY | Fort Wayne |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46806 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12602558269 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Cendrowski |
| EMPLOYER POC FIRST NAME | Barbara |
| EMPLOYER POC JOB TITLE | Recruitment Specialist |
| EMPLOYER POC ADDRESS1 | 2050 E. Algonquin Road |
| EMPLOYER POC ADDRESS2 | Ste 610 |
| EMPLOYER POC CITY | Schaumburg |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60173 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18478018365 |
| EMPLOYER POC EMAIL | bcendrowski@familiadental.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Wu |
| AGENT ATTORNEY FIRST NAME | Mark |
| AGENT ATTORNEY ADDRESS1 | 301 Congree Avenue Ste. 1150 |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78701 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15123444707.0 |
| AGENT ATTORNEY EMAIL ADDRESS | mark.wu@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| STATE OF HIGHEST COURT | GA |
|
| NAME OF HIGHEST STATE COURT | Georgia Superior Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 100 East Pettit Ave |
| WORKSITE ADDRESS2 | Ste 1A |
| LCA CASE WORKLOC1 CITY | Fort Wayne |
| WORKSITE COUNTY | ALLEN |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46806 |
| LCA CASE WAGE RATE FROM | 208000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| 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 | Rowley |
| PREPARER FIRST NAME | Emily |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | emily.rowley@ogletreedeakins.com |