| LCA CASE NUMBER | I-200-21006-998067 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-06 |
| DECISION DATE | 2021-01-13 |
| 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 | 2021-01-15 |
| END DATE | 2023-09-30 |
| 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 | M. Alexandrunas D. Hudoba Dental 1 Inc. |
| TRADE NAME DBA | Premier Dental |
| EMPLOYER ADDRESS1 | 203 Lake Avenue |
| EMPLOYER CITY | New Carlisle |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45344 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16144259061 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Alexandrunas |
| EMPLOYER POC FIRST NAME | Mark |
| EMPLOYER POC MIDDLE NAME | Richard |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 121 East Broadway |
| EMPLOYER POC CITY | Granville |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43023 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16144259061 |
| EMPLOYER POC EMAIL | alexandrunas@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ranney |
| AGENT ATTORNEY FIRST NAME | Mary |
| AGENT ATTORNEY MIDDLE NAME | Louise |
| AGENT ATTORNEY ADDRESS1 | 6740 Avery Muirfield Drive |
| AGENT ATTORNEY ADDRESS2 | Suite B |
| AGENT ATTORNEY CITY | Dublin |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16146026550 |
| AGENT ATTORNEY EMAIL ADDRESS | marylou@aacolpa.com |
|
| LAWFIRM NAME BUSINESS NAME | Arenstein & Andersen Co., LPA |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 15590 US-36 |
| LCA CASE WORKLOC1 CITY | Marysville |
| WORKSITE COUNTY | UNION |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43040 |
| LCA CASE WAGE RATE FROM | 192400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 137405 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 8 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
