| LCA CASE NUMBER | I-200-21256-579036 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-13 |
| DECISION DATE | 2021-09-21 |
| 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 | 2021-11-01 |
| END DATE | 2024-10-31 |
| 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 | Family Health Services of Erie County |
| TRADE NAME DBA | Family Health Services, LLC |
| EMPLOYER ADDRESS1 | 1912 Hayes Avenue |
| EMPLOYER CITY | Sandusky |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44870 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14195022800 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | TATRO |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1912 Hayes Avenue |
| EMPLOYER POC CITY | Sandusky |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44870 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14195022822 |
| EMPLOYER POC EMAIL | davidt@familyhs.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BASSE |
| AGENT ATTORNEY FIRST NAME | Laura |
| AGENT ATTORNEY MIDDLE NAME | Xuan |
| AGENT ATTORNEY ADDRESS1 | 6323 Georgia Ave NW |
| AGENT ATTORNEY ADDRESS2 | #56484 |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20040 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12029861666 |
| AGENT ATTORNEY EMAIL ADDRESS | lbasse@rosenblumimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Rosenblum Immigration Law, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals of the State of New York |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 265 Benedict Avenue |
| LCA CASE WORKLOC1 CITY | Norwalk |
| WORKSITE COUNTY | HURON |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44857 |
| LCA CASE WAGE RATE FROM | 145000 |
| LCA CASE WAGE RATE TO | 175000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 51438 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
