| LCA CASE NUMBER | I-200-22108-080350 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-18 |
| DECISION DATE | 2022-04-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| 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 | PACIFIC NORTHWEST DENTAL GROUP L.L.C. |
| TRADE NAME DBA | Pacific Northwest Dental |
| EMPLOYER ADDRESS1 | 2728 Westmoor Court SW |
| EMPLOYER ADDRESS2 | Suite D |
| EMPLOYER CITY | Olympia |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98502 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13609950025 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Morgan |
| EMPLOYER POC FIRST NAME | Jonathan |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 2728 Westmoor Court SW |
| EMPLOYER POC ADDRESS2 | Suite D |
| EMPLOYER POC CITY | Olympia |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98502 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18016825810 |
| EMPLOYER POC EMAIL | jonmorgan13@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cannon |
| AGENT ATTORNEY FIRST NAME | Alec |
| AGENT ATTORNEY ADDRESS1 | 380 N. 200 W. |
| AGENT ATTORNEY ADDRESS2 | Suite 209 |
| AGENT ATTORNEY CITY | Bountiful |
| AGENT ATTORNEY STATE | UT |
| AGENT ATTORNEY POSTAL CODE | 84010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18018036497 |
| AGENT ATTORNEY EMAIL ADDRESS | acannon@mcgregorfirm.com |
| LAWFIRM NAME BUSINESS NAME | McGregor & Oblad, PLLC |
| STATE OF HIGHEST COURT | UT |
| NAME OF HIGHEST STATE COURT | Utah Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2728 Westmoor Court SW |
| WORKSITE ADDRESS2 | Suite D |
| LCA CASE WORKLOC1 CITY | Olympia |
| WORKSITE COUNTY | THURSTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98502 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Cannon |
| PREPARER FIRST NAME | Alec |
| PREPARER BUSINESS NAME | McGregor & Oblad, PLLC |
| PREPARER EMAIL | acannon@mcgregorfirm.com |
