| LCA CASE NUMBER | I-200-19352-205532 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-18 |
| DECISION DATE | 2019-12-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Periodontist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-06 |
| END DATE | 2023-01-05 |
| 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 | RONALD C. KOBERNICK, D.D.S., M.SC.D., P.A. |
| EMPLOYER ADDRESS1 | 10601 Seminole Blvd. |
| EMPLOYER CITY | Largo |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33778 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +17273978503 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Kobernick |
| EMPLOYER POC FIRST NAME | Ronald |
| EMPLOYER POC MIDDLE NAME | C. |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 10601 Seminole Blvd. |
| EMPLOYER POC CITY | Largo |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33778 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +17273978503 |
| EMPLOYER POC EMAIL | ronkober@yahoo.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Michailov |
| AGENT ATTORNEY FIRST NAME | Dimitar |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 4350 East-West Highway |
| AGENT ATTORNEY ADDRESS2 | Suite 502 |
| AGENT ATTORNEY CITY | Bethesda |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20814 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18888784721.0 |
| AGENT ATTORNEY EMAIL ADDRESS | DIMO.MICHAILOV@CILAWGROUP.COM |
| LAWFIRM NAME BUSINESS NAME | CAPITOL IMMIGRATION LAW GROUP PLLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 10601 Seminole Blvd. |
| LCA CASE WORKLOC1 CITY | Largo |
| WORKSITE COUNTY | PINELLAS |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33778 |
| LCA CASE WAGE RATE FROM | 3000.0 |
| LCA CASE WAGE RATE UNIT | Week |
| PREVAILING WAGE | 150862.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 LAST NAME | MICHAILOV |
| PREPARER FIRST NAME | DIMITAR |
| PREPARER MIDDLE INITIAL | R. |
| PREPARER BUSINESS NAME | CAPITOL IMMIGRATION LAW GROUP PLLC |
| PREPARER EMAIL | DIMO.MICHAILOV@CILAWGROUP.COM |
