| LCA CASE NUMBER | I-200-16078-110572 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/30/16 |
| DECISION DATE | 4/5/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/15/16 |
| EMPLOYMENT END DATE | 9/15/19 |
| LCA CASE EMPLOYER NAME | ROBERT MATIASEVICH JR DDS INC |
| EMPLOYER ADDRESS | 1775 DOMINICAN WAY |
| EMPLOYER CITY | SANTA CRUZ |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95065 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8314767272 |
| AGENT ATTORNEY NAME | MU, XIAO QIAN |
| AGENT ATTORNEY CITY | SAN JOSE |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAIC CODE | 6212 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 94,058.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 96,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | SANTA CRUZ |
| WORKSITE COUNTY | SANTA CRUZ |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95065 |
