| LCA CASE NUMBER | I-200-20135-572886 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-05-14 |
| DECISION DATE | 2020-05-28 |
| ORIGINAL CERT DATE | 2020-05-21 |
| 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 | FAMILY DENTAL OF VIRGINIA LLC |
| EMPLOYER ADDRESS1 | 350 N CLARK STREET |
| EMPLOYER ADDRESS2 | SUITE 600 |
| EMPLOYER CITY | CHICAGO |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60654 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13122740308 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | STATHAKIS |
| EMPLOYER POC FIRST NAME | PETER |
| EMPLOYER POC JOB TITLE | CHIEF FINANCIAL OFFICER |
| EMPLOYER POC ADDRESS1 | 350 N CLARK STREET |
| EMPLOYER POC ADDRESS2 | SUITE 600 |
| EMPLOYER POC CITY | CHICAGO |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60654 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13122740308 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | BENDERSKY |
| AGENT ATTORNEY FIRST NAME | JORDAN |
| AGENT ATTORNEY ADDRESS1 | 350 N CLARK STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 600 |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60654 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13124649330.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | HUSSAIN, BENDERSKY & LISTON L.L.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2040 COLISEUM DRIVE |
| WORKSITE ADDRESS2 | SUITE A27 |
| LCA CASE WORKLOC1 CITY | HAMPTON |
| WORKSITE COUNTY | HAMPTON CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23666 |
| LCA CASE WAGE RATE FROM | 150000.0 |
| LCA CASE WAGE RATE TO | 175000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 108389.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BENDERSKY |
| PREPARER FIRST NAME | JORDAN |
| PREPARER BUSINESS NAME | HUSSAIN, BENDERSKY & LISTON L.L.C. |
| PREPARER EMAIL | [email protected] |
