| LCA CASE NUMBER | I-200-22221-406401 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-08-09 |
| DECISION DATE | 2022-09-10 |
| ORIGINAL CERT DATE | 2022-08-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinic Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-12 |
| END DATE | 2025-09-11 |
| 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 | PUEBLO COMMUNITY HEALTH CENTER, INC. |
| EMPLOYER ADDRESS1 | 110 E. ROUTT AVENUE |
| EMPLOYER CITY | PUEBLO |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 81004 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17195438711 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | MOORE |
| EMPLOYER POC FIRST NAME | DONALD |
| EMPLOYER POC MIDDLE NAME | E |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 110 E ROUTT AVENUE |
| EMPLOYER POC CITY | PUEBLO |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 81004 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17195438718 |
| EMPLOYER POC PHONE EXT | 139 |
| EMPLOYER POC EMAIL | DMOORE@PUEBLOCHC.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | ALPERT |
| AGENT ATTORNEY FIRST NAME | LEIGH |
| AGENT ATTORNEY MIDDLE NAME | Andrea |
| AGENT ATTORNEY ADDRESS1 | 4440 ARAPAHOE AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 110 |
| AGENT ATTORNEY CITY | BOULDER |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80303 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13034448668 |
| AGENT ATTORNEY EMAIL ADDRESS | LEIGH@BATTANALPERT.COM |
| LAWFIRM NAME BUSINESS NAME | BATTAN ALPERT LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | COLORADO SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2030 LAKE AVENUE |
| LCA CASE WORKLOC1 CITY | PUEBLO |
| WORKSITE COUNTY | PUEBLO |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 81004 |
| LCA CASE WAGE RATE FROM | 140000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 106933 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
