| LCA CASE NUMBER | I-200-20252-809893 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-08 |
| DECISION DATE | 2020-09-15 |
| 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 | 2020-11-02 |
| END DATE | 2023-11-01 |
| 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 | COOS COUNTY FAMILY HEALTH SERVICES |
| TRADE NAME DBA | COOS COUNTY FAMILY HEALTH SERVICES |
| EMPLOYER ADDRESS1 | 54 Willow Street |
| EMPLOYER CITY | Berlin |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 03570 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16037523669 |
| EMPLOYER PHONE EXT | 3405.0 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Lukaszewski |
| EMPLOYER POC FIRST NAME | Nicole |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS1 | 54 Willow Street |
| EMPLOYER POC CITY | Berlin |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 03570 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16037523669 |
| EMPLOYER POC PHONE EXT | 3405.0 |
| EMPLOYER POC EMAIL | nlukaszewski@ccfhs.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Winer |
| AGENT ATTORNEY FIRST NAME | Steven |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | Orr & Reno PA |
| AGENT ATTORNEY ADDRESS2 | 45 S. Main Street |
| AGENT ATTORNEY CITY | Concord |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 03302-3550 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16032239152.0 |
| AGENT ATTORNEY EMAIL ADDRESS | rvermette@orr-reno.com |
| LAWFIRM NAME BUSINESS NAME | Orr & Reno P.A. |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | NH Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 73 Main Street |
| LCA CASE WORKLOC1 CITY | Berlin |
| WORKSITE COUNTY | BERLIN CITY |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 03570 |
| LCA CASE WAGE RATE FROM | 140000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 128856.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Vermette |
| PREPARER FIRST NAME | Robin |
| PREPARER BUSINESS NAME | Orr & Reno P.A. |
| PREPARER EMAIL | rvermette@orr-reno.com |
