| LCA CASE NUMBER | I-203-21203-476843 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-21 |
| DECISION DATE | 2021-07-28 |
| VISA CLASS | E-3 Australian |
| LCA CASE JOB TITLE | President |
| SOC CODE | 11-1011.00 |
| SOC TITLE | Chief Executives |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-01 |
| END DATE | 2023-12-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Nevada Dental Group Development Partners LLC |
| EMPLOYER ADDRESS1 | 848 N. Rainbow Blvd |
| EMPLOYER ADDRESS2 | Suite 919 |
| EMPLOYER CITY | Las Vegas |
| EMPLOYER STATE | NV |
| EMPLOYER POSTAL CODE | 89107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19202031586 |
| NAICS CODE | 561110 |
| EMPLOYER POC LAST NAME | Caflisch |
| EMPLOYER POC FIRST NAME | Clark |
| EMPLOYER POC JOB TITLE | Managing Member |
| EMPLOYER POC ADDRESS1 | 848 N. Rainbow Blvd |
| EMPLOYER POC ADDRESS2 | Suite 919 |
| EMPLOYER POC CITY | Las Vegas |
| EMPLOYER POC STATE | NV |
| EMPLOYER POC POSTAL CODE | 89107 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19202031586 |
| EMPLOYER POC EMAIL | clark.caflisch@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gaertner |
| AGENT ATTORNEY FIRST NAME | Thamys |
| AGENT ATTORNEY ADDRESS1 | 434 W Ascension Way |
| AGENT ATTORNEY ADDRESS2 | Suite 525 |
| AGENT ATTORNEY CITY | Murray |
| AGENT ATTORNEY STATE | UT |
| AGENT ATTORNEY POSTAL CODE | 84123 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18015949999 |
| AGENT ATTORNEY EMAIL ADDRESS | thamys@wilneroreilly.com |
| LAWFIRM NAME BUSINESS NAME | Wilner & O'Reilly, APLC |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | Colorado Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 848 N. Rainbow Blvd |
| WORKSITE ADDRESS2 | Suite 919 |
| LCA CASE WORKLOC1 CITY | Last Vegas |
| WORKSITE COUNTY | CLARK |
| LCA CASE WORKLOC1 STATE | NV |
| WORKSITE POSTAL CODE | 89107 |
| LCA CASE WAGE RATE FROM | 115918 |
| LCA CASE WAGE RATE TO | 259875 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 115918 |
| 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 |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Morales |
| PREPARER FIRST NAME | Lorena |
| PREPARER BUSINESS NAME | Wilner and OReilly, APLC |
| PREPARER EMAIL | lmorales@wilneroreilly.com |
