| LCA CASE NUMBER | I-200-20267-841455 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-23 |
| DECISION DATE | 2020-09-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dental Health Educator |
| SOC CODE | 21-1091.00 |
| SOC TITLE | Health Educators |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-05 |
| END DATE | 2023-10-04 |
| 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 | JOHN J. BAUMAN, D.D.S. |
| EMPLOYER ADDRESS1 | 30 WEST 3RD STREET |
| EMPLOYER CITY | LEWISTOWN |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17044 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17172486004 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Bauman |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC MIDDLE NAME | J |
| EMPLOYER POC JOB TITLE | Managing Director |
| EMPLOYER POC ADDRESS1 | 30 WEST 3RD STREET |
| EMPLOYER POC CITY | LEWISTOWN |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17044 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17172486004 |
| EMPLOYER POC EMAIL | DRJBAUMAN@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Bhatt |
| AGENT ATTORNEY FIRST NAME | Samir |
| AGENT ATTORNEY MIDDLE NAME | Y |
| AGENT ATTORNEY ADDRESS1 | 366 N. Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 410 |
| AGENT ATTORNEY CITY | Jericho |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11753 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19176073390.0 |
| AGENT ATTORNEY EMAIL ADDRESS | samir@bhatt-law.com |
| LAWFIRM NAME BUSINESS NAME | Bhatt Law, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 30 WEST 3RD STREET |
| LCA CASE WORKLOC1 CITY | LEWISTOWN |
| WORKSITE COUNTY | MIFFLIN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17044 |
| LCA CASE WAGE RATE FROM | 75000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 60632.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
