| LCA CASE NUMBER | I-200-20225-764030 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-12 |
| DECISION DATE | 2020-08-19 |
| 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 | 2020-09-02 |
| END DATE | 2023-09-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Raynor Dental |
| EMPLOYER ADDRESS1 | 650 Court Street |
| EMPLOYER CITY | Keene |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 03431 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16033520006 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Raynor |
| EMPLOYER POC FIRST NAME | Jason |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 650 Court Street |
| EMPLOYER POC CITY | Keene |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 03431 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16033520006 |
| EMPLOYER POC EMAIL | jraynor@raynordental.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Corigliano |
| AGENT ATTORNEY FIRST NAME | Dina |
| AGENT ATTORNEY ADDRESS1 | 1560 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 914 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 1032959265.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ptricarico@jeffries-law.com |
| LAWFIRM NAME BUSINESS NAME | Jeffries and Corigliano LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 650 Court Street |
| LCA CASE WORKLOC1 CITY | Keene |
| WORKSITE COUNTY | KEENE CITY |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 03431 |
| LCA CASE WAGE RATE FROM | 210000.0 |
| 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 | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Corigliano |
| PREPARER FIRST NAME | Dina |
| PREPARER BUSINESS NAME | Jeffries and Corigliano LLP |
| PREPARER EMAIL | ptricarico@jeffries-law.com |
