| LCA CASE NUMBER | I-200-17207-335421 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 7/27/2017 |
| DECISION DATE | 8/2/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/5/2017 |
| EMPLOYMENT END DATE | 9/5/2020 |
| LCA CASE EMPLOYER NAME | CRUSADERS CENTRAL CLINIC ASSOCIATION |
| EMPLOYER ADDRESS | 1200 WEST STATE STREET |
| EMPLOYER CITY | ROCKFORD |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61102 |
| AGENT ATTORNEY NAME | , |
| LCA CASE JOB TITLE | DENTIST, GENERAL |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 62111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 103,022.00 |
| PW UNIT OF PAY | Year |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 121,368.00 |
| 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 | ROCKFORD |
| WORKSITE COUNTY | WINNEBAGO |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61102 |
