| LCA CASE NUMBER | I-200-22115-104186 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-25 |
| DECISION DATE | 2022-05-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-06-20 |
| END DATE | 2025-06-19 |
| 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 | Butler County Community Health Consortium, Inc. |
| TRADE NAME DBA | Primary Health Solutions |
| EMPLOYER ADDRESS1 | 300 High Street |
| EMPLOYER ADDRESS2 | 4th Floor |
| EMPLOYER CITY | Hamilton |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45011 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15134541467 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Roller |
| EMPLOYER POC FIRST NAME | Stephen |
| EMPLOYER POC JOB TITLE | Chief Clinical Officer |
| EMPLOYER POC ADDRESS1 | 300 High Street |
| EMPLOYER POC ADDRESS2 | 4th Floor |
| EMPLOYER POC CITY | Hamilton |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45011 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15134541467 |
| EMPLOYER POC EMAIL | stephenr@myprimaryhealthsolutions.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Janklow |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 301 East Fourth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16145597283 |
| AGENT ATTORNEY EMAIL ADDRESS | djanklow@fbtlaw.com |
| LAWFIRM NAME BUSINESS NAME | Frost Brown Todd LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 300 Forest Avenue |
| LCA CASE WORKLOC1 CITY | Dayton |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45405 |
| LCA CASE WAGE RATE FROM | 152710 |
| LCA CASE WAGE RATE TO | 195000 |
| 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 | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Leavitt |
| PREPARER FIRST NAME | Audrey |
| PREPARER MIDDLE INITIAL | AR |
| PREPARER BUSINESS NAME | Frost Brown Todd LLC |
| PREPARER EMAIL | aleavitt@fbtlaw.com |
