| LCA CASE NUMBER | I-200-24136-999748 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-05-15 |
| DECISION DATE | 2024-05-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-05-22 |
| END DATE | 2027-05-21 |
| 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 | Mt. Enterprise Community Health Clinic |
| TRADE NAME DBA | Crossroads Family Care |
| EMPLOYER ADDRESS1 | P.O. Box 489 |
| EMPLOYER CITY | Mt. Enterprise |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75681 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14095271313 |
| NAICS CODE | 621399 |
| EMPLOYER POC LAST NAME | Irizarry |
| EMPLOYER POC FIRST NAME | Melissa |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | CEO/CFO |
| EMPLOYER POC ADDRESS1 | P.O. Box 489 |
| EMPLOYER POC CITY | Mt. Enterprise |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75681 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14095271313 |
| EMPLOYER POC EMAIL | MIrizarry@crossroadsfamilycare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Samaratunga |
| AGENT ATTORNEY FIRST NAME | Piyumi |
| AGENT ATTORNEY ADDRESS1 | 225 South 6th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1830 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123516804 |
| AGENT ATTORNEY EMAIL ADDRESS | psamaratunga@constangy.com |
| LAWFIRM NAME BUSINESS NAME | Constangy, Brooks, Smith & Prophete LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 115 US-259 |
| LCA CASE WORKLOC1 CITY | Henderson |
| WORKSITE COUNTY | RUSK |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75654 |
| LCA CASE WAGE RATE FROM | 128440 |
| LCA CASE WAGE RATE TO | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 128440 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Solis |
| PREPARER FIRST NAME | Escarleth |
| PREPARER BUSINESS NAME | Constangy, Brooks, Smith & Prophete LLP |
| PREPARER EMAIL | esolis@constangy.com |