| LCA CASE NUMBER | I-200-18100-745547 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/10/18 |
| DECISION DATE | 4/16/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/18/18 |
| EMPLOYMENT END DATE | 4/18/21 |
| LCA CASE EMPLOYER NAME | CALDERON DENTAL GROUP LLC |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 6658 AIRPORT HIGHWAY |
| EMPLOYER CITY | HOLLAND |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43528 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 8773050393 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | O'DONOGHUE, ROBIN |
| AGENT ATTORNEY CITY | CAMBRIDGE |
| AGENT ATTORNEY STATE | MA |
| LCA CASE JOB TITLE | DENTIST (MANAGING CLINICAL DIRECTOR) |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 151,944.00 |
| 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 | 187,200.00 |
| 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 | BOWLING GREEN |
| WORKSITE COUNTY | WOOD |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43402 |
