| LCA CASE NUMBER | I-200-21161-385854 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-10 |
| DECISION DATE | 2021-06-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Sr. Industrial Designer |
| SOC CODE | 27-1021.00 |
| SOC TITLE | Commercial and Industrial Designers |
| 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 | Salgra Dental Group, Inc. |
| EMPLOYER ADDRESS1 | 7861 Pines Blvd. |
| EMPLOYER CITY | Pembroke Pines |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33024 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19549678280 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Grabczak |
| EMPLOYER POC FIRST NAME | Tomasz |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 7861 Pines Blvd. |
| EMPLOYER POC CITY | Pembroke Pines |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33024 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13055865323 |
| EMPLOYER POC EMAIL | tomaszgrabczak67@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Westerman Keuning |
| AGENT ATTORNEY FIRST NAME | Sasha |
| AGENT ATTORNEY MIDDLE NAME | Nicole |
| AGENT ATTORNEY ADDRESS1 | 4901 NW 17th Way |
| AGENT ATTORNEY ADDRESS2 | Suite 303 |
| AGENT ATTORNEY CITY | Fort Lauderdale |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17864423177 |
| AGENT ATTORNEY EMAIL ADDRESS | sasha@usainvestorvisas.com |
| LAWFIRM NAME BUSINESS NAME | Rostova Westerman Law Group |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Florida |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7861 Pines Blvd. |
| LCA CASE WORKLOC1 CITY | Pembroke Pines |
| WORKSITE COUNTY | BROWARD |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33024 |
| LCA CASE WAGE RATE FROM | 60000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 58136 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
