| LCA CASE NUMBER | I-200-21060-108953 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-01 |
| DECISION DATE | 2021-03-08 |
| 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 | 2021-04-01 |
| END DATE | 2024-03-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Resolute Cross Rd. LLC |
| TRADE NAME DBA | Coastal Connecticut Dentistry |
| EMPLOYER ADDRESS1 | 112 Cross Rd. |
| EMPLOYER CITY | Waterford |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6385 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18603337976 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Toback |
| EMPLOYER POC FIRST NAME | Gregory |
| EMPLOYER POC JOB TITLE | Chief Exec. Officer |
| EMPLOYER POC ADDRESS 1 | 112 Cross Rd. |
| EMPLOYER POC CITY | Waterford |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06385 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18603337976 |
| EMPLOYER POC EMAIL | Tobackperio@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Woog |
| AGENT ATTORNEY FIRST NAME | Laurie |
| AGENT ATTORNEY ADDRESS1 | 1812 Front St. |
| AGENT ATTORNEY ADDRESS2 | Woog Law Office |
| AGENT ATTORNEY CITY | Scotch Plains |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7076 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19086122675 |
| AGENT ATTORNEY EMAIL ADDRESS | wooglaw@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Woog Law Office |
| STATE OF HIGHEST COURT | NJ |
|
| NAME OF HIGHEST STATE COURT | NJ Sup. Ct. |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 112 Cross Rd. |
| LCA CASE WORKLOC1 CITY | Waterford |
| WORKSITE COUNTY | WATERFORD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6385 |
| LCA CASE WAGE RATE FROM | 167336 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 167336 |
| 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 |
