| LCA CASE NUMBER | I-200-20281-864612 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-07 |
| DECISION DATE | 2020-10-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-19 |
| END DATE | 2023-10-19 |
| 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 | Ikhlaq-Rosinski Dental Partners DDS P.C. |
| EMPLOYER ADDRESS1 | 141 W. Jackson Boulevard |
| EMPLOYER ADDRESS2 | Suite 210 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13128001270 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Pavlik |
| EMPLOYER POC FIRST NAME | Anna |
| EMPLOYER POC JOB TITLE | VP, Human Resources |
| EMPLOYER POC ADDRESS 1 | 141 W. Jackson Boulevard |
| EMPLOYER POC ADDRESS 2 | Suite 210 |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18476873982 |
| EMPLOYER POC EMAIL | apavlik@elitedentalpartners.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kallmeyer |
| AGENT ATTORNEY FIRST NAME | Maria |
| AGENT ATTORNEY ADDRESS1 | 411 East Wisconsin Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2400 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13127155009 |
| AGENT ATTORNEY EMAIL ADDRESS | maria.kallmeyer@quarles.com |
| LAWFIRM NAME BUSINESS NAME | Quarles & Brady LLP |
|
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6979 Chippewa Street |
| LCA CASE WORKLOC1 CITY | St. Louis |
| WORKSITE COUNTY | ST LOUIS |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 63109 |
| LCA CASE WAGE RATE FROM | 145600 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 129709 |
| PW UNIT OF PAY | Year |
| 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 | Kallmeyer |
| PREPARER FIRST NAME | Maria |
| PREPARER BUSINESS NAME | Quarles & Brady LLP |
| PREPARER EMAIL | maria.kallmeyer@quarles.com |
