| LCA CASE NUMBER | I-200-19365-222023 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-31 |
| DECISION DATE | 2020-01-07 |
| 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 | 2020-01-06 |
| END DATE | 2023-01-05 |
| 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 | Sullivan County Oral Health Collaborative, Inc. |
| TRADE NAME DBA | Community Dental Care Claremont |
| EMPLOYER ADDRESS1 | 1 Tremont St |
| EMPLOYER CITY | Claremont |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 3743 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16032871300 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Bouchard |
| EMPLOYER POC FIRST NAME | Sally |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 1 Tremont St. |
| EMPLOYER POC CITY | Claremont |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 3743 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16032871300 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | White |
| AGENT ATTORNEY FIRST NAME | Emily |
| AGENT ATTORNEY MIDDLE NAME | Assunta |
| AGENT ATTORNEY ADDRESS1 | 80 Merrimack St |
| AGENT ATTORNEY CITY | Manchester |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 3101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16037928472.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Shaheen & Gordon, P.A. |
|
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | New Hampshire Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1 Tremont St. |
| LCA CASE WORKLOC1 CITY | Claremont |
| WORKSITE COUNTY | CONCORD CITY |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 3743 |
| LCA CASE WAGE RATE FROM | 156770.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 156770.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Lovgren |
| PREPARER FIRST NAME | Lindsey |
| PREPARER MIDDLE INITIAL | S. |
| PREPARER BUSINESS NAME | Shaheen & Gordon, P.A. |
| PREPARER EMAIL | [email protected] |
