| LCA CASE NUMBER | I-200-20105-485266 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-14 |
| DECISION DATE | 2020-04-21 |
| 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 | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | Childrens Dentistry of Chicopee, LLC. |
| EMPLOYER ADDRESS1 | 21 BAY STATE RD |
| EMPLOYER CITY | CHICOPEE |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1020 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14134378300 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Veeranna |
| EMPLOYER POC FIRST NAME | Supreeth |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | Pediatric Dentist/Manager/Partner |
| EMPLOYER POC ADDRESS1 | 21 BAY STATE RD |
| EMPLOYER POC CITY | CHICOPEE |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1020 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14134378300 |
| EMPLOYER POC EMAIL | supreethlv@gmail.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Gupta |
| AGENT ATTORNEY FIRST NAME | S.K. |
| AGENT ATTORNEY ADDRESS1 | 12 BRIDGE STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE C-12 |
| AGENT ATTORNEY CITY | METUCHEN |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8840 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17327261137.0 |
| AGENT ATTORNEY EMAIL ADDRESS | skgupta@skgupta.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF S.K. GUPTA, P.C. |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 21 BAY STATE RD |
| LCA CASE WORKLOC1 CITY | CHICOPEE |
| WORKSITE COUNTY | CHICOPEE CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1020 |
| LCA CASE WAGE RATE FROM | 103000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 102918.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Tripathi |
| PREPARER FIRST NAME | Shruti |
| PREPARER BUSINESS NAME | LAW OFFICE OF S.K. GUPTA, P.C. |
| PREPARER EMAIL | paralegal@skgupta.com |