| LCA CASE NUMBER | I-200-21290-649320 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-16 |
| DECISION DATE | 2021-10-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-10-28 |
| END DATE | 2024-10-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | VRUSHALI DAMLE DENTAL CORPORATION |
| TRADE NAME DBA | AURA FAMILY DENTAL |
| EMPLOYER ADDRESS1 | 1164 EAST YOSEMITE AVE |
| EMPLOYER CITY | MANTECA |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95336 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12096243131 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | DAMLE |
| EMPLOYER POC FIRST NAME | VRUSHAH |
| EMPLOYER POC JOB TITLE | PRESIDENT/OWNER |
| EMPLOYER POC ADDRESS1 | 1164 EAST YOSEMITE AVE |
| EMPLOYER POC CITY | MANTECA |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95336 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12096243131 |
| EMPLOYER POC EMAIL | drvdamle@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Baxley |
| AGENT ATTORNEY FIRST NAME | Shirley |
| AGENT ATTORNEY ADDRESS1 | 2121 W JESTER WAY |
| AGENT ATTORNEY CITY | POST FALLS |
| AGENT ATTORNEY STATE | ID |
| AGENT ATTORNEY POSTAL CODE | 83854 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17143288090 |
| AGENT ATTORNEY EMAIL ADDRESS | shirley.baxley@sbcglobal.net |
| LAWFIRM NAME BUSINESS NAME | Shirley's Immigration Service |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1164 EAST YOSEMITE AVE |
| LCA CASE WORKLOC1 CITY | MANTECA |
| WORKSITE COUNTY | SAN JOAQUIN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95336 |
| LCA CASE WAGE RATE FROM | 90 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 86.97 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Baxley |
| PREPARER FIRST NAME | Shirley |
| PREPARER BUSINESS NAME | Shirley's Immigration Service |
| PREPARER EMAIL | shirley.baxley@sbcglobal.net |
