| LCA CASE NUMBER | I-200-21012-009035 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-12 |
| DECISION 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 | 2021-01-13 |
| END DATE | 2021-08-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | RICHARD C EVANGELISTA DDS INC |
| EMPLOYER ADDRESS1 | 2633 CAMINO RAMON |
| EMPLOYER ADDRESS2 | SUITE 455 |
| EMPLOYER CITY | SAN RAMON |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94583 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15108483143 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | EVANGELISTA |
| EMPLOYER POC FIRST NAME | RICHARD |
| EMPLOYER POC MIDDLE NAME | C |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 2633 CAMINO RAMON |
| EMPLOYER POC ADDRESS 2 | SUITE 455 |
| EMPLOYER POC CITY | SAN RAMON |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94583 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15108483143 |
| EMPLOYER POC EMAIL | dr.e@dentalforce.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Evangelista |
| AGENT ATTORNEY FIRST NAME | Arthur |
| AGENT ATTORNEY MIDDLE NAME | Carlos |
| AGENT ATTORNEY ADDRESS1 | 894 HARDT ST |
| AGENT ATTORNEY ADDRESS2 | SUITE C |
| AGENT ATTORNEY CITY | San Bernardino |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92408 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19093815299 |
| AGENT ATTORNEY EMAIL ADDRESS | acelawoffices@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Evangelista Law Offices |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4205 SAN FELIPE RD |
| LCA CASE WORKLOC1 CITY | SAN JOSE |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95135 |
| LCA CASE WAGE RATE FROM | 164154 |
| LCA CASE WAGE RATE TO | 165000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 164154 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Evangelista |
| PREPARER FIRST NAME | Arthur |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Evangelista Law Offices |
| PREPARER EMAIL | acelawoffices@gmail.com |
