| LCA CASE NUMBER | I-200-19318-146950 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-14 |
| DECISION DATE | 2019-11-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-02 |
| END DATE | 2023-01-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | HEATHER PARK DENTAL CARE, P.C. |
| EMPLOYER ADDRESS1 | 6262 SOUTH PARKER ROAD |
| EMPLOYER ADDRESS2 | SUITE 300 |
| EMPLOYER CITY | CENTENNIAL |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80016 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +13036904500 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | BOLLINGER |
| EMPLOYER POC FIRST NAME | JACKIE |
| EMPLOYER POC JOB TITLE | SENIOR CORPORATE PARALEGAL |
| EMPLOYER POC ADDRESS1 | 7160 N. DALLAS PKWY |
| EMPLOYER POC ADDRESS2 | SUITE 400 |
| EMPLOYER POC CITY | PLANO |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75024 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +19727550841 |
| EMPLOYER POC EMAIL | JACKIE.BOLLINGER@DENTALONEPARTNERS.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | COENEN |
| AGENT ATTORNEY FIRST NAME | NICHOLAS |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 332 S. MICHIGAN AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 1428 |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13123419730.0 |
| AGENT ATTORNEY EMAIL ADDRESS | NICHOLASJC@KLC-LTD.COM |
| LAWFIRM NAME BUSINESS NAME | KEMPSTER, CORCORAN, QUICENO & LENZ-CALVO, LTD. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | ILLINOIS SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 6262 SOUTH PARKER ROAD |
| WORKSITE ADDRESS2 | SUITE 300 |
| LCA CASE WORKLOC1 CITY | CENTENNIAL |
| WORKSITE COUNTY | ARAPAHOE |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 80016 |
| LCA CASE WAGE RATE FROM | 96720.0 |
| LCA CASE WAGE RATE TO | 145759.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 96720.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
