| LCA CASE NUMBER | I-200-17034-268967 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/3/2017 |
| DECISION DATE | 2/9/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/5/2017 |
| EMPLOYMENT END DATE | 8/5/2020 |
| LCA CASE EMPLOYER NAME | LAKEWOOD FAMILY DENTAL FO LAFAYETTE, INC. |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 4512 PARNELL AVENUE |
| EMPLOYER CITY | FORT WAYNE |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46825 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2603991333 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BANERJEE, ANNIE (ANINDITA) |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1029 |
| SOC NAME | DENTISTS, ALL OTHER SPECIALISTS |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 171,038.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 182,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | LAFAYETTE |
| WORKSITE COUNTY | TIPPECANOE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47905 |
