| LCA CASE NUMBER | I-200-21098-209516 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-08 |
| DECISION DATE | 2021-04-15 |
| 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 | 2021-10-01 |
| 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 | D2 Dental of Hammond, P.C. |
| TRADE NAME DBA | Destiny Dental |
| EMPLOYER ADDRESS1 | 1738 165th St. |
| EMPLOYER CITY | Hammond |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46320 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13129332463 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Lucci |
| EMPLOYER POC FIRST NAME | James |
| EMPLOYER POC JOB TITLE | Manager |
| EMPLOYER POC ADDRESS 1 | 137 North Oak Park Ave. |
| EMPLOYER POC ADDRESS 2 | Suite 310 |
| EMPLOYER POC CITY | Oak Park |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13129332463 |
| EMPLOYER POC EMAIL | james.lucci3@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kempster |
| AGENT ATTORNEY FIRST NAME | Alec |
| AGENT ATTORNEY ADDRESS1 | 332 S. Michigan Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 1428 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13123419730 |
| AGENT ATTORNEY EMAIL ADDRESS | aleck@klc-ltd.com |
| LAWFIRM NAME BUSINESS NAME | Kempster, Corcoran, Quiceno, & Lenz-Calvo LTD |
|
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1738 165th Street |
| LCA CASE WORKLOC1 CITY | Hammond |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46320 |
| LCA CASE WAGE RATE FROM | 100630 |
| LCA CASE WAGE RATE TO | 106000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 100630 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 Business |
