| LCA CASE NUMBER | I-200-18178-772268 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/27/18 |
| DECISION DATE | 7/3/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/16/18 |
| EMPLOYMENT END DATE | 7/15/21 |
| LCA CASE EMPLOYER NAME | SHAWNEE HEALTH SERVICE & DEVELOPMENT CORPORATION |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 109 CALIFORNIA STREET |
| EMPLOYER CITY | CARTERVILLE |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62918 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6189853151 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SANDLER, BRADLEY |
| AGENT ATTORNEY CITY | ST. LOUIS |
| AGENT ATTORNEY STATE | MO |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621112 |
| 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 | 103,376.00 |
| 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 | 103,400.00 |
| LCA CASE WAGE RATE TO | 150,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | MARION |
| WORKSITE COUNTY | WILLIAMSON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62959 |
