| LCA CASE NUMBER | I-200-20280-861257 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-06 |
| DECISION DATE | 2020-10-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-20 |
| END DATE | 2023-10-19 |
| 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 | Apple Tree Dental |
| EMPLOYER ADDRESS1 | 8960 Springbrook Drive, Ste. 150 |
| EMPLOYER CITY | Minneapolis |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55433 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17637847993 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | ENGSTROM |
| EMPLOYER POC FIRST NAME | Chad |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS 1 | 8960 Springbrook Drive |
| EMPLOYER POC ADDRESS 2 | Suite 150 |
| EMPLOYER POC CITY | Minneapolis |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55433 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17637847993 |
| EMPLOYER POC EMAIL | cengstrom@appletreedental.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GOLD |
| AGENT ATTORNEY FIRST NAME | DANA |
| AGENT ATTORNEY MIDDLE NAME | ANN |
| AGENT ATTORNEY ADDRESS1 | 1630 N. MAIN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 44 |
| AGENT ATTORNEY CITY | WALNUT CREEK |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94596 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19252320442 |
| AGENT ATTORNEY EMAIL ADDRESS | DANA@GOLDLAWOFFICES.COM |
| LAWFIRM NAME BUSINESS NAME | GOLD LAW OFFICES |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 327 Western Avenue, Suite A |
| LCA CASE WORKLOC1 CITY | Fergus |
| WORKSITE COUNTY | OTTER TAIL |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56537 |
| LCA CASE WAGE RATE FROM | 70 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 69.78 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Schechter |
| PREPARER FIRST NAME | Niely |
| PREPARER BUSINESS NAME | Gold Law Offices |
| PREPARER EMAIL | Niely@goldlawoffices.com |
