| LCA CASE NUMBER | I-200-20220-758011 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-07 |
| DECISION DATE | 2020-08-14 |
| 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 | 2020-08-31 |
| END DATE | 2021-10-12 |
| 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 | Macoupin County Public Health Department |
| EMPLOYER ADDRESS1 | 805 North Broad Street |
| EMPLOYER CITY | Carlinville |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62626 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12178256705 |
| NAICS CODE | 92312 |
| EMPLOYER POC LAST NAME | Tarro |
| EMPLOYER POC FIRST NAME | Kent |
| EMPLOYER POC JOB TITLE | CEO-Public Health Administrator |
| EMPLOYER POC ADDRESS1 | 805 North Broad St. |
| EMPLOYER POC CITY | Carlinville |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62626 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12178256705 |
| EMPLOYER POC EMAIL | ktarro@mcphd.net |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Sandler |
| AGENT ATTORNEY FIRST NAME | Bradley |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 7700 Forsyth |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | St. Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13147193006.0 |
| AGENT ATTORNEY EMAIL ADDRESS | brad.sandler@stinson.com |
| LAWFIRM NAME BUSINESS NAME | Stinson LLP |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 109 E. Maple Street |
| LCA CASE WORKLOC1 CITY | Gillespie |
| WORKSITE COUNTY | MACOUPIN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62033 |
| LCA CASE WAGE RATE FROM | 43.27 |
| LCA CASE WAGE RATE TO | 72.12 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 40.38 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 |
