| LCA CASE NUMBER | I-200-21222-512431 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-10 |
| DECISION DATE | 2021-08-16 |
| 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 | 2021-11-26 |
| END DATE | 2024-11-25 |
| 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 | Dental White Management, LLC |
| TRADE NAME DBA | Seaside Perio Centre |
| EMPLOYER ADDRESS1 | 1020 Lakehurst Drive |
| EMPLOYER ADDRESS2 | #210 |
| EMPLOYER CITY | Waukegan |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60085 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18479122546 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Rajalingam |
| EMPLOYER POC FIRST NAME | Venmani |
| EMPLOYER POC JOB TITLE | Owner & President |
| EMPLOYER POC ADDRESS1 | 1020 Lakehurst Drive |
| EMPLOYER POC ADDRESS2 | #210 |
| EMPLOYER POC CITY | Waukegan |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60085 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18479124546 |
| EMPLOYER POC EMAIL | Dentalwhitemanagement@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ramos |
| AGENT ATTORNEY FIRST NAME | Maria del Carmen |
| AGENT ATTORNEY ADDRESS1 | 101 E. Kennedy Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 2800 |
| AGENT ATTORNEY CITY | Tampa |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | FLORIDA |
| AGENT ATTORNEY PHONE | 18132272252 |
| AGENT ATTORNEY EMAIL ADDRESS | mramos@shumaker.com |
| LAWFIRM NAME BUSINESS NAME | Shumaker, Loop & Kendrick, LLP |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 43625 Mission Boulevard |
| WORKSITE ADDRESS2 | Suite 105 |
| LCA CASE WORKLOC1 CITY | Fremont |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94539 |
| LCA CASE WAGE RATE FROM | 105.81 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 105.81 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Ramos |
| PREPARER FIRST NAME | Maria del Carmen |
| PREPARER BUSINESS NAME | Shumaker, Loop & Kendrick, LLP |
| PREPARER EMAIL | mramos@shumaker.com |
