| LCA CASE NUMBER | I-200-22249-457167 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-09-06 |
| DECISION DATE | 2022-09-13 |
| 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 | 2022-10-01 |
| END DATE | 2025-09-30 |
| 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 | Coos County Family Health Services |
| EMPLOYER ADDRESS1 | 54 Willow Street |
| EMPLOYER CITY | Berlin |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 3570 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16037523669 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Lukaszewski |
| EMPLOYER POC FIRST NAME | Nicoloe |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS1 | 54 Willow St. |
| EMPLOYER POC CITY | Berlin |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 3570 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16037523669 |
| EMPLOYER POC EMAIL | nlukaszewski@ccfhs.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | White |
| AGENT ATTORNEY FIRST NAME | Emily |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 45 S. Main Street, PO Box 3550 |
| AGENT ATTORNEY CITY | Concord |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 3301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16032239117 |
| AGENT ATTORNEY EMAIL ADDRESS | pviolo@orr-reno.com |
| LAWFIRM NAME BUSINESS NAME | Orr & Reno |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | New Hampshire Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 73 Main St. |
| LCA CASE WORKLOC1 CITY | Berlin |
| WORKSITE COUNTY | BERLIN CITY |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 3570 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 53851 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Violo |
| PREPARER FIRST NAME | Paula |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | Orr & Reno |
| PREPARER EMAIL | pviolo@orr-reno.com |
