| LCA CASE NUMBER | I-200-19352-202580 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-17 |
| DECISION DATE | 2019-12-24 |
| 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 | 2020-01-01 |
| END DATE | 2022-12-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | OPTIMUS HEALTHCARE, INC. |
| EMPLOYER ADDRESS1 | 305 Boston Avenue |
| EMPLOYER CITY | Stratford |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06614 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +12036083345 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | XAVIER-DOWSKI |
| EMPLOYER POC FIRST NAME | MARIA |
| EMPLOYER POC MIDDLE NAME | C |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 305 Boston Avenue |
| EMPLOYER POC CITY | Stratford |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06614 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +12036083345 |
| EMPLOYER POC EMAIL | MXDOWSKI@OPTHC.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | ROSS |
| AGENT ATTORNEY FIRST NAME | MICHELLE |
| AGENT ATTORNEY MIDDLE NAME | ALAINA |
| AGENT ATTORNEY ADDRESS1 | 142 OLD RIDIGEFIELD ROAD, SUITE 202 |
| AGENT ATTORNEY CITY | WILTON |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06897 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12035293760.0 |
| AGENT ATTORNEY PHONE EXT | 105.0 |
| AGENT ATTORNEY EMAIL ADDRESS | MROSS@ROBERTSIMMIGRATION.COM |
| LAWFIRM NAME BUSINESS NAME | ROBERTS IMMIGRATION LAW GROUP, LLLC |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF CONNECTICUT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1351 WASHINGTON BOULEVARD |
| LCA CASE WORKLOC1 CITY | STAMFORD |
| WORKSITE COUNTY | FAIRFIELD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06902 |
| LCA CASE WAGE RATE FROM | 105000.0 |
| LCA CASE WAGE RATE TO | 125000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104562.0 |
| 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 Employment |
| PREPARER LAST NAME | ROSS |
| PREPARER FIRST NAME | MICHELLE |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | ROBERTS IMMIGRATION LAW GROUP, LLC |
| PREPARER EMAIL | MROSS@ROBERTSIMMIGRATION.COM |