| LCA CASE NUMBER | I-200-20141-588384 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-05-20 |
| DECISION DATE | 2020-09-16 |
| ORIGINAL CERT DATE | 2020-05-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Dentistry for Health, LLC |
| EMPLOYER ADDRESS1 | 10365 Pacific Street |
| EMPLOYER CITY | Omaha |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68114 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14022135329 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Khan |
| EMPLOYER POC FIRST NAME | Robin |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 10365 Pacific Street |
| EMPLOYER POC CITY | Omaha |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68114 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14022135329 |
| EMPLOYER POC EMAIL | robinkhan33@hotmail.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Peck |
| AGENT ATTORNEY FIRST NAME | Amy |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 10050 Regency Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023911991.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jacque.banker@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, PC |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Nebraska Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 10365 Pacific Street |
| LCA CASE WORKLOC1 CITY | Omaha |
| WORKSITE COUNTY | DOUGLAS |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68114 |
| LCA CASE WAGE RATE FROM | 46.6 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 46.6 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Banker |
| PREPARER FIRST NAME | Jacque |
| PREPARER BUSINESS NAME | Jackson Lewis, PC |
| PREPARER EMAIL | jacque.banker@jacksonlewis.com |
