| LCA CASE NUMBER | I-200-19364-220792 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-30 |
| DECISION DATE | 2020-01-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | N |
| 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 | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Manus Northwestern Oral Health Center |
| EMPLOYER ADDRESS1 | 676 N. Michigan Avenue |
| EMPLOYER ADDRESS2 | 35th Floor |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60611 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | ILLINOIS |
| EMPLOYER PHONE | 13127677020 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Dan |
| EMPLOYER POC FIRST NAME | Dohnalek |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 365 SURRYSE RD. |
| EMPLOYER POC ADDRESS2 | Suite 170 |
| EMPLOYER POC CITY | Lake Zurich |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60047 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18474386485 |
| EMPLOYER POC EMAIL | DDOHNALEK@CSGSMILES.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Dawson |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Spencer |
| AGENT ATTORNEY ADDRESS1 | 302 West Third Street |
| AGENT ATTORNEY ADDRESS2 | Suite 710 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133818472.0 |
| AGENT ATTORNEY PHONE EXT | 93.0 |
| AGENT ATTORNEY EMAIL ADDRESS | john.dawson@muimmigration.com |
| LAWFIRM NAME BUSINESS NAME | MusilloUnkenholt, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 676 N. Michigan Avenue |
| WORKSITE ADDRESS2 | 35th Floor |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60611 |
| LCA CASE WAGE RATE FROM | 61.77 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 61.77 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Healy |
| PREPARER FIRST NAME | Julia |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Musillo Unkenholt LLC |
| PREPARER EMAIL | julia.healy@muimmigration.com |