| LCA CASE NUMBER | I-200-21180-432763 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-29 |
| DECISION DATE | 2021-07-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST/DENTAL DIRECTOR |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-07-02 |
| END DATE | 2024-07-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MT. ENTERPRISE COMMUNITY HEALTH CLINIC |
| TRADE NAME DBA | CROSSROADS FAMILY CARE |
| EMPLOYER ADDRESS1 | P.O. BOX 489 |
| EMPLOYER CITY | MT. ENTERPRISE |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75681 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19038223076 |
| NAICS CODE | 6213 |
| EMPLOYER POC LAST NAME | WHITE |
| EMPLOYER POC FIRST NAME | KENNETH |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | P.O. BOX 489 |
| EMPLOYER POC CITY | MT. ENTERPRISE |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75681 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19038223076 |
| EMPLOYER POC EMAIL | kwhite@crossroadsfamilycare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DUTTON |
| AGENT ATTORNEY FIRST NAME | ANDREW |
| AGENT ATTORNEY ADDRESS1 | 243 NEW HYDE PARK ROAD |
| AGENT ATTORNEY CITY | GARDEN CITY |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11530 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15163083670 |
| AGENT ATTORNEY EMAIL ADDRESS | adutton@andrewduttonlaw.com |
| LAWFIRM NAME BUSINESS NAME | ANDREW DUTTON, ESQ., P.C. |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | NEW YORK STATE COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1115 U.S. HIGHWAY 259 SOUTH |
| LCA CASE WORKLOC1 CITY | HENDERSON |
| WORKSITE COUNTY | RUSK |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75654 |
| LCA CASE WAGE RATE FROM | 125 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 103.48 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
