| LCA CASE NUMBER | I-200-20162-643804 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-10 |
| DECISION DATE | 2020-06-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Orthodontist |
| SOC CODE | 29-1023.00 |
| SOC TITLE | Orthodontists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-14 |
| END DATE | 2023-09-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Damon B. Thompson, DDS, P.C. |
| TRADE NAME DBA | Real Life Smiles |
| EMPLOYER ADDRESS1 | 250 S. Main Street |
| EMPLOYER ADDRESS2 | Suite 101 |
| EMPLOYER CITY | Blacksburg |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 24060 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15405525433 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Williams |
| EMPLOYER POC FIRST NAME | Thomas |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 250 S. Main Street |
| EMPLOYER POC ADDRESS2 | Suite 101 |
| EMPLOYER POC CITY | Blacksburg |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 24060 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15405525433 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Bucceroni |
| AGENT ATTORNEY FIRST NAME | Mandi |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 2929 Arch Street |
| AGENT ATTORNEY ADDRESS2 | 13th Floor |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12154956508.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Reger Rizzo & Darnall LLP |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 250 S. Main Street |
| WORKSITE ADDRESS2 | Suite 101 |
| LCA CASE WORKLOC1 CITY | Blacksburg |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 24060 |
| LCA CASE WAGE RATE FROM | 208000.0 |
| 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 | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bucceroni |
| PREPARER FIRST NAME | Mandi |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Reger Rizzo Darnall LLP |
| PREPARER EMAIL | [email protected] |
