| LCA CASE NUMBER | I-200-19337-176567 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-03 |
| DECISION DATE | 2019-12-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-11 |
| END DATE | 2022-12-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | EDP of Wisconsin SC |
| TRADE NAME DBA | Elite Dental Partners LLC |
| EMPLOYER ADDRESS1 | 141 West Jackson Boulevard |
| EMPLOYER ADDRESS2 | Suite 210 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +13128001270 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | King |
| EMPLOYER POC FIRST NAME | Cristina |
| EMPLOYER POC JOB TITLE | Managing Director of Recruitment |
| EMPLOYER POC ADDRESS1 | 141 W Jackson Blvd |
| EMPLOYER POC ADDRESS2 | Suite 210 |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +13128001274 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Lo |
| AGENT ATTORNEY FIRST NAME | Tzu-Kai |
| AGENT ATTORNEY ADDRESS1 | 333 West Wacker Drive |
| AGENT ATTORNEY ADDRESS2 | Floor 15 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13122636101.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 17160 W North Ave |
| WORKSITE ADDRESS2 | Suite 101 |
| LCA CASE WORKLOC1 CITY | Brookfield |
| WORKSITE COUNTY | WAUKESHA |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53005 |
| LCA CASE WAGE RATE FROM | 168000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 120619.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | McGonagle |
| PREPARER FIRST NAME | Kevin |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | [email protected] |
