| LCA CASE NUMBER | I-200-21137-319844 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-17 |
| DECISION DATE | 2021-05-24 |
| 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 | 2021-06-14 |
| END DATE | 2024-06-13 |
| 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 | Group Health Plan, Inc. |
| TRADE NAME DBA | HealthPartners, Inc. |
| EMPLOYER ADDRESS1 | 8170 33rd Avenue South |
| EMPLOYER CITY | Bloomington |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55425 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19528835100 |
| NAICS CODE | 621491 |
| EMPLOYER POC LAST NAME | Rathbun |
| EMPLOYER POC FIRST NAME | Ruth |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | Manager, Legal Services & Senior Paralegal |
| EMPLOYER POC ADDRESS 1 | 8170 33rd Avenue South |
| EMPLOYER POC CITY | Bloomington |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55425 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19528835100 |
| EMPLOYER POC EMAIL | ruth.a.rathbun@healthpartners.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peterson |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY MIDDLE NAME | K. |
| AGENT ATTORNEY ADDRESS1 | 1300 Lagoon Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 210 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55408 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123518100 |
| AGENT ATTORNEY EMAIL ADDRESS | sarah@spsimmigration.com |
|
| LAWFIRM NAME BUSINESS NAME | SPS Immigration PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8600 Nicollet Ave |
| LCA CASE WORKLOC1 CITY | Bloomington |
| WORKSITE COUNTY | HENNEPIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55420 |
| LCA CASE WAGE RATE FROM | 82285 |
| LCA CASE WAGE RATE TO | 260000 |
| 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 | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
