| LCA CASE NUMBER | I-200-20210-738504 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-28 |
| DECISION DATE | 2020-08-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | Third Street Community Clinic Inc. |
| TRADE NAME DBA | Third Street Family Health Services |
| EMPLOYER ADDRESS1 | 600 West Third Street |
| EMPLOYER CITY | Mansfield |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44906 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14195256778 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Volz |
| EMPLOYER POC FIRST NAME | Morgan |
| EMPLOYER POC JOB TITLE | Executive Assistant |
| EMPLOYER POC ADDRESS1 | 600 West Third Street |
| EMPLOYER POC CITY | Mansfield |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44906 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14195256778 |
| EMPLOYER POC EMAIL | volzm@tsfhs.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Jolic |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 6500 Rockside Road |
| AGENT ATTORNEY ADDRESS2 | Suite 180 |
| AGENT ATTORNEY CITY | Independence |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12163289878.0 |
| AGENT ATTORNEY PHONE EXT | 107.0 |
| AGENT ATTORNEY EMAIL ADDRESS | michael@mjbimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Martin Jolic and Bratton, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Ohio Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 600 West Third Street |
| LCA CASE WORKLOC1 CITY | Mansfield |
| WORKSITE COUNTY | RICHLAND |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44906 |
| LCA CASE WAGE RATE FROM | 130000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 102690.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
