| LCA CASE NUMBER | I-200-20127-546504 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-06 |
| DECISION DATE | 2020-05-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Oral Surgeon |
| SOC CODE | 29-1022.00 |
| SOC TITLE | Oral and Maxillofacial Surgeons |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ELLIOT PROFESSIONAL SERVICES NETWORK, INC. |
| EMPLOYER ADDRESS1 | ONE ELLIOT WAY |
| EMPLOYER CITY | MANCHESTER |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 3103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16036634973 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | CHAPDELAINE |
| EMPLOYER POC FIRST NAME | JANELLE |
| EMPLOYER POC JOB TITLE | Provider Contracting Specialist |
| EMPLOYER POC ADDRESS1 | ONE ELLIOT WAY |
| EMPLOYER POC CITY | MANCHESTER |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 3103 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16036634973 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | FRANCIS |
| AGENT ATTORNEY FIRST NAME | ELENA |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 100 High Street |
| AGENT ATTORNEY ADDRESS2 | 3rd Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16175740400.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | ONE ELLIOT WAY |
| LCA CASE WORKLOC1 CITY | MANCHESTER |
| WORKSITE COUNTY | MANCHESTER CITY |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 3103 |
| LCA CASE WAGE RATE FROM | 450000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Fraser |
| PREPARER FIRST NAME | Catherine |
| PREPARER MIDDLE INITIAL | E. |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | [email protected] |
