| LCA CASE NUMBER | I-200-23122-983179 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-02 |
| DECISION DATE | 2023-05-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| 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 | Acorn Dentistry for Kids, LLC |
| EMPLOYER ADDRESS1 | 110 S. 2nd St |
| EMPLOYER CITY | Silverton |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97381 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15038744560 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Richardson |
| EMPLOYER POC FIRST NAME | Tim |
| EMPLOYER POC JOB TITLE | CEO/Owner |
| EMPLOYER POC ADDRESS1 | 110 S. 2nd St |
| EMPLOYER POC CITY | Silverton |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97381 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15038744560 |
| EMPLOYER POC EMAIL | DrTim@acorndentistryforkids.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sung |
| AGENT ATTORNEY FIRST NAME | Jack |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 2975 Wilshire Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 352 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13233808034 |
| AGENT ATTORNEY EMAIL ADDRESS | jack.c.sung@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Jack C. Sung |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court, California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 434 S. First St |
| WORKSITE ADDRESS2 | Suite 300 |
| LCA CASE WORKLOC1 CITY | Hillsboro |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97123 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 153462 |
| 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 |
| PREPARER LAST NAME | Sung |
| PREPARER FIRST NAME | Jack |
| PREPARER MIDDLE INITIAL | C. |
| PREPARER BUSINESS NAME | Law Office of Jack C. Sung |
| PREPARER EMAIL | jack.c.sung@gmail.com |
