| LCA CASE NUMBER | I-200-18069-504597 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/10/18 |
| DECISION DATE | 3/15/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/9/18 |
| EMPLOYMENT END DATE | 9/8/21 |
| LCA CASE EMPLOYER NAME | LAKEWOOD FAMILY DENTAL |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 1407 N. VETERANS PARKWAY |
| EMPLOYER CITY | BLOOMINGTON |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61704 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 3096612999 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | LEGO, KELLIE |
| AGENT ATTORNEY CITY | COLUMBIA |
| AGENT ATTORNEY STATE | MD |
| LCA CASE JOB TITLE | MEDICAL AND HEALTH SERVICES MANAGER |
| SOC CODE | 11-9111 |
| SOC NAME | MEDICAL AND HEALTH SERVICES MANAGERS |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 76,086.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 76,116.00 |
| 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 | BLOOMINGTON |
| WORKSITE COUNTY | MCLEAN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61704 |
