| LCA CASE NUMBER | I-200-20274-851687 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-30 |
| DECISION DATE | 2020-10-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Orthodontist |
| SOC CODE | 29-1023.00 |
| SOC TITLE | Orthodontists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-08-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Fusion Dental PLLC |
| EMPLOYER ADDRESS1 | 121 Eastgate Plaza |
| EMPLOYER CITY | Bellmead |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76705 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12547994867 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Boekweg |
| EMPLOYER POC FIRST NAME | Ezra |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 121 Eastgate Plaza |
| EMPLOYER POC CITY | Bellmead |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78705 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12547994867 |
| EMPLOYER POC EMAIL | boekweg80@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Thomas |
| AGENT ATTORNEY FIRST NAME | Jeffrey |
| AGENT ATTORNEY MIDDLE NAME | Rees |
| AGENT ATTORNEY ADDRESS1 | 912 S Capital of Texas Highway |
| AGENT ATTORNEY ADDRESS2 | Suite 450 |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78746 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15128524114 |
| AGENT ATTORNEY EMAIL ADDRESS | jrthomas@fosterglobal.com |
| LAWFIRM NAME BUSINESS NAME | Foster LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Minnesota |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 121 Eastgate Plaza |
| LCA CASE WORKLOC1 CITY | Bellmead |
| WORKSITE COUNTY | MCLENNAN |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76705 |
| LCA CASE WAGE RATE FROM | 150 |
| LCA CASE WAGE RATE TO | 350 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 64.54 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
