\ H1B CASE NUMBER I-200-25121-926116



CASE NUNBER: I-200-25121-926116

LCA CASE NUMBERI-200-25121-926116
STATUSCertified - Withdrawn
LCA CASE SUBMIT2025-05-01
DECISION DATE2025-06-03
ORIGINAL CERT DATE2025-05-08
VISA CLASSH-1B
LCA CASE JOB TITLESalesforce Developer
SOC CODE15-1252
SOC TITLESoftware Developers
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-10-01
END DATE2028-09-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEDelta Dental of Michigan, Inc.
EMPLOYER ADDRESS14100 Okemos Road
EMPLOYER CITYOkemos
EMPLOYER STATEMI
EMPLOYER POSTAL CODE48864
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PROVINCEMI
EMPLOYER PHONE15173475872
EMPLOYER FEIN38-1791480
NAICS CODE524114
EMPLOYER POC LAST NAMEWesorick
EMPLOYER POC FIRST NAMEMatt
EMPLOYER POC JOB TITLEAssistant General Counsel
EMPLOYER POC ADDRESS14100 Okemos Road
EMPLOYER POC CITYOkemos
EMPLOYER POC STATEMI
EMPLOYER POC POSTAL CODE48864
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE15173475872
EMPLOYER POC EMAILmwesorick@deltadentalmi.com
AGENT REPRESENTING EMPLOYERFalse
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS14100 Okemos Road
LCA CASE WORKLOC1 CITYOkemos
WORKSITE COUNTYINGHAM
LCA CASE WORKLOC1 STATEMI
WORKSITE POSTAL CODE48864
LCA CASE WAGE RATE FROM108826
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE84157
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business