| LCA CASE NUMBER | I-200-21168-405592 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-17 |
| DECISION DATE | 2021-06-25 |
| 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 | 2021-07-12 |
| END DATE | 2024-07-11 |
| 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 | Mosaic Health, Inc. |
| EMPLOYER ADDRESS1 | 1 South Washington St. |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Rochester |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14614 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15852322280 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Leary |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | President and CEO |
| EMPLOYER POC ADDRESS 1 | 1 South Washington St. |
| EMPLOYER POC ADDRESS 2 | Suite 300 |
| EMPLOYER POC CITY | Rochester |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14614 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15852322280 |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Novak |
| AGENT ATTORNEY FIRST NAME | Francis |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 1600 Bausch & Lomb Place |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15852311406 |
| AGENT ATTORNEY EMAIL ADDRESS | fnovak@hselaw.com |
| LAWFIRM NAME BUSINESS NAME | Harter Secrest & Emery LLP |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2 Rubin Dr. |
| LCA CASE WORKLOC1 CITY | Rushville |
| WORKSITE COUNTY | YATES |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14544 |
| LCA CASE WAGE RATE FROM | 82285 |
| LCA CASE WAGE RATE TO | 182285 |
| 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 |
| PREPARER BUSINESS NAME | Not applicable |
