| LCA CASE NUMBER | I-200-16298-374103 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 10/26/2016 |
| DECISION DATE | 11/1/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 11/14/2016 |
| EMPLOYMENT END DATE | 11/14/2019 |
| LCA CASE EMPLOYER NAME | FAMILIA DENTAL LUBBOCK PLLC |
| EMPLOYER ADDRESS | 2402 19TH ST |
| EMPLOYER CITY | LUBBOCK |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 79401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8479153019 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KANYUSIK, JACOB |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | ORTHODONTIST |
| SOC CODE | 29-1029 |
| SOC NAME | DENTISTS, ALL OTHER SPECIALISTS |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 90,189.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 249,600.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | LUBBOCK |
| WORKSITE COUNTY | LUBBOCK |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 79401 |
