| LCA CASE NUMBER | I-200-24096-861446 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-04-05 |
| DECISION DATE | 2024-04-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Oral Surgeon |
| SOC CODE | 29-1022.00 |
| SOC TITLE | Oral and Maxillofacial Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-10-01 |
| END DATE | 2027-09-30 |
| 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 | Randolph Center for Oral and Maxillofacial Surgery, PA |
| EMPLOYER ADDRESS1 | 447 Route 10 East |
| EMPLOYER ADDRESS2 | Suites 5 & 6 |
| EMPLOYER CITY | Randolph |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 07869 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17322367776 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Cosman |
| EMPLOYER POC FIRST NAME | Jonathon |
| EMPLOYER POC JOB TITLE | Vice President of Talent Recruitment |
| EMPLOYER POC ADDRESS1 | 1800 West Loop S. |
| EMPLOYER POC ADDRESS2 | Suite 2000 |
| EMPLOYER POC CITY | Houston |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13462014034 |
| EMPLOYER POC EMAIL | JCosman@specialty1partners.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Katz |
| AGENT ATTORNEY FIRST NAME | Nora |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | TENNESSEE |
| AGENT ATTORNEY PHONE | 16158508730 |
| AGENT ATTORNEY EMAIL ADDRESS | flag@hklaw.com |
| LAWFIRM NAME BUSINESS NAME | Holland & Knight LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Tennessee Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 447 Route 10 East |
| WORKSITE ADDRESS2 | Suite 5 & 6 |
| LCA CASE WORKLOC1 CITY | Randolph |
| WORKSITE COUNTY | MORRIS |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 07869 |
| LCA CASE WAGE RATE FROM | 239200 |
| LCA CASE WAGE RATE TO | 400000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 239200 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hamm |
| PREPARER FIRST NAME | Zoey |
| PREPARER BUSINESS NAME | Holland & Knight LLP |
| PREPARER EMAIL | zoey.hamm@hklaw.com |