| LCA CASE NUMBER | I-200-21096-200682 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-06 |
| DECISION DATE | 2021-04-13 |
| 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 | 2021-07-11 |
| END DATE | 2024-07-10 |
| 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 | Partnership Community Health Center, Inc. |
| EMPLOYER ADDRESS1 | 5337 West Grande Market Drive |
| EMPLOYER CITY | Appleton |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54913 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19207506644 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Jacobson |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC MIDDLE NAME | Jean |
| EMPLOYER POC JOB TITLE | Human Resources Coordinator |
| EMPLOYER POC ADDRESS 1 | 5337 West Grande Market Drive |
| EMPLOYER POC CITY | Appleton |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54913 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19207506644 |
| EMPLOYER POC EMAIL | MARIA.JACOBSON@THEDACARE.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Christensen |
| AGENT ATTORNEY FIRST NAME | Kristy |
| AGENT ATTORNEY ADDRESS1 | 2401 East Enterprise Avenue |
| AGENT ATTORNEY CITY | Appleton |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 54913 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19202572254 |
| AGENT ATTORNEY EMAIL ADDRESS | kchristensen@mccarty-law.com |
| LAWFIRM NAME BUSINESS NAME | McCarty Law LLP |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Supreme Court of Wisconsin |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 825 W Fulton Street |
| LCA CASE WORKLOC1 CITY | Waupaca |
| WORKSITE COUNTY | WAUPACA |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54981 |
| LCA CASE WAGE RATE FROM | 172008 |
| 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 | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Christensen |
| PREPARER FIRST NAME | Kristy |
| PREPARER BUSINESS NAME | McCarty Law LLP |
| PREPARER EMAIL | kchristensen@mccarty-law.com |
