| LCA CASE NUMBER | I-200-20167-653159 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-15 |
| DECISION DATE | 2020-06-22 |
| 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 | 2020-08-01 |
| END DATE | 2023-07-31 |
| 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 | Great Lakes Bay Health Centers |
| EMPLOYER ADDRESS1 | 501 Lapeer Avenue |
| EMPLOYER CITY | Saginaw |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48607 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19899072714 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Galonska |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Executive Vice President |
| EMPLOYER POC ADDRESS1 | 501 Lapeer Avenue |
| EMPLOYER POC CITY | saginaw |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48607 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19897596448 |
| EMPLOYER POC EMAIL | lgalonska@glbhealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Wooley |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Eric |
| AGENT ATTORNEY ADDRESS1 | 715 E Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 110 |
| AGENT ATTORNEY CITY | Midland |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48640 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19896983715.0 |
| AGENT ATTORNEY EMAIL ADDRESS | mwooley@wnj.com |
| LAWFIRM NAME BUSINESS NAME | Warner Norcross & Judd LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 6297 Dixie Highway |
| LCA CASE WORKLOC1 CITY | Bridgeport |
| WORKSITE COUNTY | SAGINAW |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48722 |
| LCA CASE WAGE RATE FROM | 135000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104146.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
