| LCA CASE NUMBER | I-200-19301-111578 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-28 |
| DECISION DATE | 2019-11-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-02 |
| END DATE | 2022-12-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS |
| EMPLOYER ADDRESS1 | 601 PARK STREET |
| EMPLOYER CITY | HONESDALE |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18431 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +15702538450 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | JACKSON |
| EMPLOYER POC FIRST NAME | FREDERICK |
| EMPLOYER POC JOB TITLE | EXECUTIVE DIRECTOR |
| EMPLOYER POC ADDRESS1 | 601 PARK STREET |
| EMPLOYER POC CITY | HONESDALE |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18431 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +15702538450 |
| EMPLOYER POC EMAIL | JACKSONF@WMH.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PEDERSON |
| AGENT ATTORNEY FIRST NAME | JAN |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 1800 MASSACHUSETTS AVE. |
| AGENT ATTORNEY ADDRESS2 | NW |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12024830053.0 |
| AGENT ATTORNEY PHONE EXT | 104.0 |
| AGENT ATTORNEY EMAIL ADDRESS | JAN@MAGGIO-KATTAR.COM |
| LAWFIRM NAME BUSINESS NAME | MAGGIO KATTAR |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF THE UNITED STATES |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 750 ROUTE 739 |
| LCA CASE WORKLOC1 CITY | LORDS VALLEY |
| WORKSITE COUNTY | PIKE |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 18428 |
| LCA CASE WAGE RATE FROM | 130000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104499.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | MAGGIO KATTAR |
| PREPARER EMAIL | NSAWYER@MAGGIO-KATTAR.COM |
