| LCA CASE NUMBER | I-200-21012-008742 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-01-12 |
| DECISION DATE | 2022-10-28 |
| ORIGINAL CERT DATE | 2021-01-20 |
| 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 | 2021-06-08 |
| END DATE | 2024-06-07 |
| 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 | GRACE HEALTH, INC. |
| EMPLOYER ADDRESS1 | 181 WEST EMMETT STREET |
| EMPLOYER CITY | BATTLE CREEK |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49037 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12699662600 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | CHANG, M.D., MPH |
| EMPLOYER POC FIRST NAME | PETER |
| EMPLOYER POC MIDDLE NAME | S. |
| EMPLOYER POC JOB TITLE | PRESIDENT/CEO |
| EMPLOYER POC ADDRESS1 | 181 WEST EMMETT STREET |
| EMPLOYER POC CITY | BATTLE CREEK |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49037 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12699662600 |
| EMPLOYER POC EMAIL | tricia.simunovic@gracehealthmi.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | WALKER |
| AGENT ATTORNEY FIRST NAME | BARRY |
| AGENT ATTORNEY MIDDLE NAME | JOE |
| AGENT ATTORNEY ADDRESS1 | P O BOX 1023 |
| AGENT ATTORNEY CITY | TUPELO |
| AGENT ATTORNEY STATE | MS |
| AGENT ATTORNEY POSTAL CODE | 38802 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16628410629 |
| AGENT ATTORNEY EMAIL ADDRESS | danane@walker-immigration.com |
| LAWFIRM NAME BUSINESS NAME | BARRY J WALKER ATTY P A |
|
| STATE OF HIGHEST COURT | MS |
| NAME OF HIGHEST STATE COURT | STATE SUPREME COURT OF MISSISSIPPI |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 181 WEST EMMETT STREET |
| LCA CASE WORKLOC1 CITY | BATTLE CREEK |
| WORKSITE COUNTY | CALHOUN |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49037 |
| LCA CASE WAGE RATE FROM | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 82285 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | WALKER |
| PREPARER FIRST NAME | BARRY |
| PREPARER MIDDLE INITIAL | J. |
| PREPARER BUSINESS NAME | BARRY J WALKER ATTY P A |
| PREPARER EMAIL | danane@walker-immigration.com |
