| LCA CASE NUMBER | I-200-21263-593652 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-20 |
| DECISION DATE | 2021-09-27 |
| 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 | 2021-10-07 |
| END DATE | 2024-10-06 |
| 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 | Community Health Center, Inc. |
| EMPLOYER ADDRESS1 | 635 Main Street |
| EMPLOYER CITY | Middletown |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06457-2718 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12032372229 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Chapman |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC JOB TITLE | Manager of Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 19 Grand Street |
| EMPLOYER POC CITY | Middletown |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6457 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12032372229 |
| EMPLOYER POC PHONE EXT | 6421 |
| EMPLOYER POC EMAIL | chapmaj@chc1.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 999 Asylum Ave., Suite 202 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602498100 |
| AGENT ATTORNEY EMAIL ADDRESS | awizner@lkwvisa.com |
| LAWFIRM NAME BUSINESS NAME | Leete, Kosto & Wizner, LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | One Shaws Cove |
| LCA CASE WORKLOC1 CITY | New London |
| WORKSITE COUNTY | NEW LONDON CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6320 |
| LCA CASE WAGE RATE FROM | 157700 |
| LCA CASE WAGE RATE TO | 168300 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 116958 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Zhu |
| PREPARER FIRST NAME | Yunli |
| PREPARER BUSINESS NAME | Leete, Kosto and Wizner, LLP |
| PREPARER EMAIL | jzhu@lkwvisa.com |
