| LCA CASE NUMBER | I-200-21154-364093 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-02 |
| DECISION DATE | 2021-06-09 |
| 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 | 2021-08-01 |
| END DATE | 2024-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ROBERT MATIASEVICH JR DDS INC |
| EMPLOYER ADDRESS1 | 1775 DOMINICAN WAY |
| EMPLOYER CITY | SANTA CRUZ |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95065 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18314767272 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | MATIASEVICH JR. |
| EMPLOYER POC FIRST NAME | ROBERT |
| EMPLOYER POC MIDDLE NAME | NICHOLAS |
| EMPLOYER POC JOB TITLE | OWNER/DENTIST |
| EMPLOYER POC ADDRESS 1 | 1775 DOMINICAN WAY |
| EMPLOYER POC CITY | SANTA CRUZ |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95065 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18314767272 |
| EMPLOYER POC EMAIL | DRBOBJ@ME.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Terkiana |
| AGENT ATTORNEY FIRST NAME | Jagbir |
| AGENT ATTORNEY MIDDLE NAME | Singh |
| AGENT ATTORNEY ADDRESS1 | PO Box 70280 |
| AGENT ATTORNEY CITY | Sunnyvale |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94086 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14157157790 |
| AGENT ATTORNEY EMAIL ADDRESS | jay@immigration.global |
| LAWFIRM NAME BUSINESS NAME | Terkiana, Inc. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Appellate Division III |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1775 DOMINICAN WAY |
| LCA CASE WORKLOC1 CITY | SANTA CRUZ |
| WORKSITE COUNTY | SANTA CRUZ |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95065 |
| LCA CASE WAGE RATE FROM | 100734 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 100734 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Terkiana |
| PREPARER FIRST NAME | Jagbir |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | TERKIANA INC |
| PREPARER EMAIL | jay@immigration.global |
