| LCA CASE NUMBER | I-200-19330-169093 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-11-26 |
| DECISION DATE | 2020-01-09 |
| ORIGINAL CERT DATE | 2019-12-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-27 |
| END DATE | 2022-09-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Tower Plaza Dental, P.A. |
| EMPLOYER ADDRESS1 | 3716 State Ave. |
| EMPLOYER ADDRESS2 | #B |
| EMPLOYER CITY | Kansas City |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 66102 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16606244887 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Pim |
| EMPLOYER POC FIRST NAME | Alex |
| EMPLOYER POC JOB TITLE | Manager of Recruitment |
| EMPLOYER POC ADDRESS1 | 2221 E. Bijou St. |
| EMPLOYER POC ADDRESS2 | Ste 100 |
| EMPLOYER POC CITY | Colorado Springs |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80909 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16606244887 |
| EMPLOYER POC EMAIL | alex.pim@herodvo.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Schultz |
| AGENT ATTORNEY FIRST NAME | Jonathan |
| AGENT ATTORNEY ADDRESS1 | 8601 N. Scottsdale Rd |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Scottsdale |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85253 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14804295000.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jon.schultz@kutakrock.com |
| LAWFIRM NAME BUSINESS NAME | Kutak Rock LLP |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3716 State Ave |
| WORKSITE ADDRESS2 | #B |
| LCA CASE WORKLOC1 CITY | Kansas City |
| WORKSITE COUNTY | WYANDOTTE |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 66102 |
| LCA CASE WAGE RATE FROM | 210600.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 181376.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Schultz |
| PREPARER FIRST NAME | Jonathan |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Kutak Rock LLP |
| PREPARER EMAIL | jon.schultz@kutakrock.com |