| LCA CASE NUMBER | I-200-21277-622012 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-04 |
| DECISION DATE | 2021-10-12 |
| 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 | 2021-10-10 |
| END DATE | 2024-10-09 |
| 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 | Katahdin Valley Health Center |
| EMPLOYER ADDRESS1 | 529 S Patten Rd |
| EMPLOYER CITY | Patten |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 04765 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12075282285 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Kyllonen |
| EMPLOYER POC FIRST NAME | Carrie |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 529 S Patten Rd |
| EMPLOYER POC CITY | Patten |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 04765 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12075383700 |
| EMPLOYER POC PHONE EXT | 355 |
| EMPLOYER POC EMAIL | carrie.kyllonen@kvhc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jaynes |
| AGENT ATTORNEY FIRST NAME | Marcus |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 222 St John Street |
| AGENT ATTORNEY ADDRESS2 | Ste 321 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 04102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MAINE |
| AGENT ATTORNEY PHONE | 12077756371 |
| AGENT ATTORNEY EMAIL ADDRESS | mbj@landisarn.com |
|
| LAWFIRM NAME BUSINESS NAME | Landis Arn & Jaynes, P.A. |
| STATE OF HIGHEST COURT | ME |
| NAME OF HIGHEST STATE COURT | Maine Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 50 Summer St |
| LCA CASE WORKLOC1 CITY | Millinocket |
| WORKSITE COUNTY | MILLINOCKET TOWN |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 04462 |
| LCA CASE WAGE RATE FROM | 160000 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
