| LCA CASE NUMBER | I-200-21074-147784 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-15 |
| DECISION DATE | 2021-03-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-17 |
| END DATE | 2024-07-16 |
| 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 | Thundermist Health Center |
| EMPLOYER ADDRESS1 | 171 SERVICE AVENUE |
| EMPLOYER ADDRESS2 | Building 2 |
| EMPLOYER CITY | Warwick |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 2886 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14017674100 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | LaChance |
| EMPLOYER POC FIRST NAME | Jeanne |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 171 Service Ave. |
| EMPLOYER POC ADDRESS 2 | Building 2 |
| EMPLOYER POC CITY | Warwick |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 02886 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14017674100 |
| EMPLOYER POC EMAIL | JEANNEL@THUNDERMIST.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rosenblum |
| AGENT ATTORNEY FIRST NAME | Lilah |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 1666 Connecticut Ave., NW |
| AGENT ATTORNEY ADDRESS2 | Suite 500 |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20009 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12029861666 |
| AGENT ATTORNEY PHONE EXT | 3 |
| AGENT ATTORNEY EMAIL ADDRESS | lrosenblum@lrimmlaw.com |
| LAWFIRM NAME BUSINESS NAME | Lichtman & Rosenblum, PLLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1219 Main St. |
| LCA CASE WORKLOC1 CITY | West Warwick |
| WORKSITE COUNTY | WEST WARWICK |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 2893 |
| LCA CASE WAGE RATE FROM | 140000 |
| LCA CASE WAGE RATE TO | 180000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 118290 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
