| LCA CASE NUMBER | I-200-21319-705920 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-15 |
| DECISION DATE | 2021-11-22 |
| 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 | 2021-12-20 |
| END DATE | 2024-12-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Spectra Health |
| TRADE NAME DBA | Spectra Health |
| EMPLOYER ADDRESS1 | 212 S 4th Street |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Grand Forks |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17017572812 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Shannon |
| EMPLOYER POC FIRST NAME | Ben |
| EMPLOYER POC JOB TITLE | Director of Operations |
| EMPLOYER POC ADDRESS1 | 212 S 4th Street |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Grand Forks |
| EMPLOYER POC STATE | ND |
| EMPLOYER POC POSTAL CODE | 58201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17017572812 |
| EMPLOYER POC EMAIL | ben.shannon@spectrahealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Leibl |
| AGENT ATTORNEY FIRST NAME | Geoffrey |
| AGENT ATTORNEY MIDDLE NAME | D. |
| AGENT ATTORNEY ADDRESS1 | 12250 El Camino Real |
| AGENT ATTORNEY ADDRESS2 | Suite 350 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92130 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18584815211 |
|
| AGENT ATTORNEY EMAIL ADDRESS | lorraine@usimmigrationlaw.net |
| LAWFIRM NAME BUSINESS NAME | Leibl and Kirkwood PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 212 S 4th Street |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Grand Forks |
| WORKSITE COUNTY | GRAND FORKS |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58201 |
| LCA CASE WAGE RATE FROM | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 111696 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Chiwai |
| PREPARER FIRST NAME | Lorraine |
| PREPARER BUSINESS NAME | Leibl and Kirkwood PC |
| PREPARER EMAIL | lorraine@usimmigrationlaw.net |
