| LCA CASE NUMBER | I-200-21152-359074 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-01 |
| DECISION DATE | 2021-06-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Periodontist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Something Cool, LLC |
| TRADE NAME DBA | Periodontal Associates of Lafayette |
| EMPLOYER ADDRESS1 | 415 N 26th Street |
| EMPLOYER ADDRESS2 | Suite 303 |
| EMPLOYER CITY | Lafayette |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47904 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16308631235 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Villanueva |
| EMPLOYER POC FIRST NAME | Justin |
| EMPLOYER POC JOB TITLE | Managing Member |
| EMPLOYER POC ADDRESS 1 | 415 N 26th Street |
| EMPLOYER POC ADDRESS 2 | Suite 303 |
| EMPLOYER POC CITY | Lafayette |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47904 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16308631235 |
| EMPLOYER POC EMAIL | jvillanueva@perioal.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cohen |
| AGENT ATTORNEY FIRST NAME | Adam |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Rd |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455 |
| AGENT ATTORNEY EMAIL ADDRESS | acohen@visalaw.com |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 415 N 26th Street |
| WORKSITE ADDRESS2 | Suite 203 |
| LCA CASE WORKLOC1 CITY | Lafayette |
| WORKSITE COUNTY | TIPPECANOE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47904 |
| LCA CASE WAGE RATE FROM | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 121909 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Schaffler |
| PREPARER FIRST NAME | Macrae |
| PREPARER BUSINESS NAME | Siskind Susser OC |
| PREPARER EMAIL | mschaffler@visalaw.com |
