| LCA CASE NUMBER | I-200-18003-620656 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/3/18 |
| DECISION DATE | 1/9/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2/5/18 |
| EMPLOYMENT END DATE | 2/4/21 |
| LCA CASE EMPLOYER NAME | CHURCH STREET DENTAL, PC |
| EMPLOYER ADDRESS | 109 CHURCH STREET |
| EMPLOYER CITY | CHICOPEE |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01020 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4135922342 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MICHELLE, SHEPARD |
| AGENT ATTORNEY CITY | WOBURN |
| AGENT ATTORNEY STATE | MA |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 163,384.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 163,384.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | CHICOPEE |
| WORKSITE COUNTY | HAMPDEN |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01020 |
