| LCA CASE NUMBER | I-200-21243-557035 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-31 |
| DECISION DATE | 2021-09-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | CRIS DENTAL PC |
| EMPLOYER ADDRESS1 | P.O. BOX 1541 |
| EMPLOYER CITY | ROSEBURG |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97470 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15414921687 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | BRATLAND |
| EMPLOYER POC FIRST NAME | MICHAEL |
| EMPLOYER POC JOB TITLE | OWNER |
| EMPLOYER POC ADDRESS1 | P.O. BOX 1541 |
| EMPLOYER POC CITY | ROSEBURG |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97470 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15414921687 |
| EMPLOYER POC EMAIL | INFO@CRISDENTAL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GOLD |
| AGENT ATTORNEY FIRST NAME | DANA |
| AGENT ATTORNEY MIDDLE NAME | ANN |
| AGENT ATTORNEY ADDRESS1 | 1630 N. MAIN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 44 |
| AGENT ATTORNEY CITY | WALNUT CREEK |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94596 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19252320442 |
| AGENT ATTORNEY EMAIL ADDRESS | DANA@GOLDLAWOFFICES.COM |
| LAWFIRM NAME BUSINESS NAME | GOLD LAW OFFICES |
| STATE OF HIGHEST COURT | CA |
|
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 196 CATRON STREET N |
| LCA CASE WORKLOC1 CITY | MONMOUTH |
| WORKSITE COUNTY | POLK |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97361 |
| LCA CASE WAGE RATE FROM | 115 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 108.88 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SCHECHTER |
| PREPARER FIRST NAME | NIELY |
| PREPARER BUSINESS NAME | GOLD LAW OFFICES |
| PREPARER EMAIL | NIELY@GOLDLAWOFFICES.COM |
