| LCA CASE NUMBER | I-200-21216-502423 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-04 |
| DECISION DATE | 2021-08-11 |
| 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 | 2021-08-09 |
| END DATE | 2024-08-08 |
| 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 | EDWARD M. KENNEDY COMMUNITY HEALTH CENTER |
| EMPLOYER ADDRESS1 | 115 NE CUTOFF |
| EMPLOYER ADDRESS2 | BUILDING 2, SUITE 200 |
| EMPLOYER CITY | WORCESTER |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1606 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15088542122 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | KERRIGAN |
| EMPLOYER POC FIRST NAME | STEPHEN |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | PRESIDENT & CEO |
| EMPLOYER POC ADDRESS1 | 115 NE CUTOFF |
| EMPLOYER POC ADDRESS2 | BUILDING 2, SUITE 200 |
| EMPLOYER POC CITY | WORCESTER |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1606 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15085327315 |
| EMPLOYER POC EMAIL | STEVE.KERRIGAN@KENNEDYCHC.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | FRANCIS |
| AGENT ATTORNEY FIRST NAME | ELENA |
| AGENT ATTORNEY ADDRESS1 | 100 HIGH STREET |
| AGENT ATTORNEY ADDRESS2 | 3RD FLOOR |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16175740400 |
| AGENT ATTORNEY EMAIL ADDRESS | LBRADLEY@FRAGOMEN.COM |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN DEL REY BERNSEN & LOEWY LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 19 TACOMA STREET |
| LCA CASE WORKLOC1 CITY | WORCESTER |
| WORKSITE COUNTY | WORCESTER CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1605 |
| LCA CASE WAGE RATE FROM | 102981 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85488 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BRADLEY |
| PREPARER FIRST NAME | LINDSEY |
| PREPARER BUSINESS NAME | FRAGOMEN DEL REY BERNSEN & LOEWY LLP |
| PREPARER EMAIL | LBRADLEY@FRAGOMEN.COM |
