\ H1B CASE NUMBER I-200-21277-622012



CASE NUNBER: I-200-21277-622012

LCA CASE NUMBERI-200-21277-622012
STATUSCertified
LCA CASE SUBMIT2021-10-04
DECISION DATE2021-10-12
VISA CLASSH-1B
LCA CASE JOB TITLEDentist
SOC CODE29-1021.00
SOC TITLEDentists, General
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-10-10
END DATE2024-10-09
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEKatahdin Valley Health Center
EMPLOYER ADDRESS1529 S Patten Rd
EMPLOYER CITYPatten
EMPLOYER STATEME
EMPLOYER POSTAL CODE04765
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE12075282285
NAICS CODE621111
EMPLOYER POC LAST NAMEKyllonen
EMPLOYER POC FIRST NAMECarrie
EMPLOYER POC JOB TITLEHuman Resources Director
EMPLOYER POC ADDRESS1529 S Patten Rd
EMPLOYER POC CITYPatten
EMPLOYER POC STATEME
EMPLOYER POC POSTAL CODE04765
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE12075383700
EMPLOYER POC PHONE EXT355
EMPLOYER POC EMAILcarrie.kyllonen@kvhc.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEJaynes
AGENT ATTORNEY FIRST NAMEMarcus
AGENT ATTORNEY MIDDLE NAMEB
AGENT ATTORNEY ADDRESS1222 St John Street
AGENT ATTORNEY ADDRESS2Ste 321
AGENT ATTORNEY CITYPortland
AGENT ATTORNEY STATEME
AGENT ATTORNEY POSTAL CODE04102
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PROVINCEMAINE
AGENT ATTORNEY PHONE12077756371
AGENT ATTORNEY EMAIL ADDRESSmbj@landisarn.com
LAWFIRM NAME BUSINESS NAMELandis Arn & Jaynes, P.A.
STATE OF HIGHEST COURTME
NAME OF HIGHEST STATE COURTMaine Supreme Judicial Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS150 Summer St
LCA CASE WORKLOC1 CITYMillinocket
WORKSITE COUNTYMILLINOCKET TOWN
LCA CASE WORKLOC1 STATEME
WORKSITE POSTAL CODE04462
LCA CASE WAGE RATE FROM160000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE51438
PW UNIT OF PAYYear
PW WAGE LEVELI
PW OES YEAR7/1/2021 - 6/30/2022
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business