| LCA CASE NUMBER | I-200-18052-713218 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/21/18 |
| DECISION DATE | 2/27/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/20/18 |
| EMPLOYMENT END DATE | 8/19/21 |
| LCA CASE EMPLOYER NAME | KELLYN W. HODGES, D.M.D.,M.S., PC |
| EMPLOYER ADDRESS | ONE BELMONT AVENUE |
| EMPLOYER CITY | BALA CYNWYD |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19004 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6106170700 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | HOFFMAN, LINDA |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| LCA CASE JOB TITLE | ORTHODONTIST |
| SOC CODE | 29-1023 |
| SOC NAME | ORTHODONTISTS |
| NAICS CODE | 62121 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 191,090.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 200,000.00 |
| 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 | N |
| LCA CASE WORKLOC1 CITY | BALA CYNWYD |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19004 |
