| LCA CASE NUMBER | I-200-20191-705855 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-09 |
| DECISION DATE | 2020-07-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Oral and Maxillofacial Surgeon |
| SOC CODE | 29-1022.00 |
| SOC TITLE | Oral and Maxillofacial Surgeons |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-01 |
| END DATE | 2023-07-31 |
| 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 | Elbaum Krost & Elbaum DDS, PA |
| TRADE NAME DBA | Center for Oral & Maxillofacial Surgery |
| EMPLOYER ADDRESS1 | 1125 HWY 35 |
| EMPLOYER CITY | Ocean |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 07712 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17325318700 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Teese |
| EMPLOYER POC FIRST NAME | Carolyn |
| EMPLOYER POC JOB TITLE | Practice Administrator |
| EMPLOYER POC ADDRESS1 | 1125 HWY 35 |
| EMPLOYER POC CITY | Ocean |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 07712 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17325318700 |
| EMPLOYER POC EMAIL | cteese4coms@gmail.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Zhang |
| AGENT ATTORNEY FIRST NAME | Jerry |
| AGENT ATTORNEY ADDRESS1 | 9999 Bellaire Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 920 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17137718433.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jzhang@hooyou.com |
| LAWFIRM NAME BUSINESS NAME | Zhang & Associates, P.C. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 688 Brewers Bridge Road |
| LCA CASE WORKLOC1 CITY | Jackson |
| WORKSITE COUNTY | OCEAN |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 08527 |
| LCA CASE WAGE RATE FROM | 250000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Zhang |
| PREPARER FIRST NAME | Jerry |
| PREPARER BUSINESS NAME | Zhang & Associates, P.C. |
| PREPARER EMAIL | jzhang@hooyou.com |
