| LCA CASE NUMBER | I-200-21149-355800 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-29 |
| DECISION DATE | 2021-06-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical and Health Service Manager |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| 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 | Southern Minnesota Periodontics PA |
| EMPLOYER ADDRESS1 | 1560 Adams Street |
| EMPLOYER CITY | Mankato |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56001-5192 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15073457537 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Dolgov |
| EMPLOYER POC FIRST NAME | Sergey |
| EMPLOYER POC JOB TITLE | Doctor |
| EMPLOYER POC ADDRESS 1 | 1560 Adams Street |
| EMPLOYER POC CITY | Mankato |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 56001-5192 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15073457537 |
| EMPLOYER POC EMAIL | drdolgov@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Root |
| AGENT ATTORNEY FIRST NAME | James |
| AGENT ATTORNEY ADDRESS1 | 5757 Wilshire Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 440 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13234567600 |
| AGENT ATTORNEY EMAIL ADDRESS | attorney@rootlaw.com |
| LAWFIRM NAME BUSINESS NAME | Root Law Group |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1560 Adams Street |
| LCA CASE WORKLOC1 CITY | Mankato |
| WORKSITE COUNTY | BLUE EARTH |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56001-5192 |
| LCA CASE WAGE RATE FROM | 76003 |
| LCA CASE WAGE RATE TO | 87318 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 76003 |
| 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 |
| PREPARER LAST NAME | Root |
| PREPARER FIRST NAME | James |
| PREPARER BUSINESS NAME | Root Law Group |
| PREPARER EMAIL | attorney@rootlaw.com |
