| LCA CASE NUMBER | I-200-21111-244509 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-21 |
| DECISION DATE | 2021-04-28 |
| 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 | 2021-07-06 |
| END DATE | 2024-07-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Generations Family Health Center, Inc. |
| EMPLOYER ADDRESS1 | 40 Mansfield Ave. |
| EMPLOYER CITY | Willimantic |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18604566283 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Frasca |
| EMPLOYER POC FIRST NAME | Ginger |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS 1 | 40 Mansfield Ave. |
| EMPLOYER POC CITY | Willimantic |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18604566299 |
| EMPLOYER POC EMAIL | gfrasca@genhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ombok |
| AGENT ATTORNEY FIRST NAME | Otieno |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726895 |
| AGENT ATTORNEY EMAIL ADDRESS | otieno.ombok@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 40 Mansfield Ave. |
| LCA CASE WORKLOC1 CITY | Willimantic |
| WORKSITE COUNTY | WINDHAM |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6226 |
| LCA CASE WAGE RATE FROM | 117770 |
| LCA CASE WAGE RATE TO | 157500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117770 |
| 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 | Agatonovic |
| PREPARER FIRST NAME | Bosiljka |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | bosiljka.agatonovic@jacksonlewis.com |
