| LCA CASE NUMBER | I-200-18212-358994 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 7/31/18 |
| DECISION DATE | 8/6/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/22/18 |
| EMPLOYMENT END DATE | 8/21/21 |
| LCA CASE EMPLOYER NAME | GOSHEN MEDICAL CENTER |
| EMPLOYER ADDRESS | 412 SW CENTER STREET |
| EMPLOYER CITY | FAISON |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28341 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9102671942 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | TEDROW, KLARI |
| AGENT ATTORNEY CITY | HOMEWOOD |
| AGENT ATTORNEY STATE | AL |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621111 |
| 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 | 130,686.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 150,000.00 |
| 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 | FAISON |
| WORKSITE COUNTY | DUPLIN |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 28341 |
