| LCA CASE NUMBER | I-200-20086-436897 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-26 |
| DECISION DATE | 2020-04-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-03-27 |
| END DATE | 2020-09-06 |
| 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 | 1st Family Dental P.C. |
| TRADE NAME DBA | 1st Family Dental of West Roseland |
| EMPLOYER ADDRESS1 | 701 W 111th St |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60628 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17735099200 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Karam |
| EMPLOYER POC FIRST NAME | Karam |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 120 E Lake Street |
| EMPLOYER POC CITY | Addison |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16308949700 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hayes-Jimenez |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY ADDRESS1 | 1170 Old Henderson Rd. |
| AGENT ATTORNEY ADDRESS2 | Ste 105 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43220 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16144592830.0 |
| AGENT ATTORNEY PHONE EXT | 3.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Zeidan & Associates, llc |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 701 W 111th St |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60628 |
| LCA CASE WAGE RATE FROM | 150000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 128482.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hayes-Jimenez |
| PREPARER FIRST NAME | Jennifer |
| PREPARER BUSINESS NAME | Zeidan & Associates, LLC |
| PREPARER EMAIL | [email protected] |
