| LCA CASE NUMBER | I-200-23097-914236 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-07 |
| DECISION DATE | 2023-04-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-30 |
| END DATE | 2026-09-29 |
| 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 | Apple Tree Dental |
| EMPLOYER ADDRESS1 | 8960 Springbrook Drive NW , Ste. 150 |
| EMPLOYER CITY | Minneapolis |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55433 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17637847993 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | ENGSTROM |
| EMPLOYER POC FIRST NAME | Chad |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS1 | 8960 Springbrook Drive NW |
| EMPLOYER POC ADDRESS2 | Suite 150 |
| EMPLOYER POC CITY | Minneapolis |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55433 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17637847993 |
| EMPLOYER POC EMAIL | cengstrom@appletreedental.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GOLD |
| AGENT ATTORNEY FIRST NAME | DANA |
| AGENT ATTORNEY MIDDLE NAME | ANN |
| AGENT ATTORNEY ADDRESS1 | 1630 N. MAIN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 44 |
| AGENT ATTORNEY CITY | WALNUT CREEK |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94596 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19252320442 |
| AGENT ATTORNEY EMAIL ADDRESS | DANA@GOLDLAWOFFICES.COM |
| LAWFIRM NAME BUSINESS NAME | GOLD LAW OFFICES |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 800 MEDICAL CENTER DRIVE, STE. 490 |
| LCA CASE WORKLOC1 CITY | FAIRMONT |
| WORKSITE COUNTY | MARTIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56031 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 138819 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SCHECHTER |
| PREPARER FIRST NAME | NIELY |
| PREPARER BUSINESS NAME | GOLD LAW OFFICES |
| PREPARER EMAIL | NIELY@GOLDLAWOFFICES.COM |