| LCA CASE NUMBER | I-200-21091-192167 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-01 |
| DECISION DATE | 2021-04-08 |
| 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 | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Illini Smiles Dental Care PC |
| EMPLOYER ADDRESS1 | 303 W Springfield Ave |
| EMPLOYER CITY | Champaign |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61820 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12173563335 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Xu |
| EMPLOYER POC FIRST NAME | Yudong |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 303 W Springfield Ave |
| EMPLOYER POC CITY | Champaign |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61820 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12173563335 |
| EMPLOYER POC EMAIL | yudongdental@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Guo |
| AGENT ATTORNEY FIRST NAME | Zhao |
| AGENT ATTORNEY ADDRESS1 | 501 N IH 35 |
| AGENT ATTORNEY ADDRESS2 | Suite 210 |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78702 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15125752666 |
| AGENT ATTORNEY PHONE EXT | 2 |
| AGENT ATTORNEY EMAIL ADDRESS | chuck.g@springdalelaw.com |
| LAWFIRM NAME BUSINESS NAME | Springdale Law Group LLC |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1812 S Philo St |
| LCA CASE WORKLOC1 CITY | Urbana |
| WORKSITE COUNTY | CHAMPAIGN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61802 |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 105331 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
