| LCA CASE NUMBER | I-200-20245-798213 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-01 |
| DECISION DATE | 2020-09-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-21 |
| END DATE | 2023-09-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Northern Counties Health Care, Inc. |
| EMPLOYER ADDRESS1 | 165 Sherman Drive |
| EMPLOYER CITY | St. Johnsbury |
| EMPLOYER STATE | VT |
| EMPLOYER POSTAL CODE | 05819 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18027489405 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Costa |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC MIDDLE NAME | Kenneth |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 165 Sherman Dr |
| EMPLOYER POC CITY | St. Johnsbury |
| EMPLOYER POC STATE | VT |
| EMPLOYER POC POSTAL CODE | 05819 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18027489405 |
| EMPLOYER POC PHONE EXT | 1513.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Collier |
| AGENT ATTORNEY FIRST NAME | Sidney |
| AGENT ATTORNEY MIDDLE NAME | Ellen |
| AGENT ATTORNEY ADDRESS1 | 27 Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 12 |
| AGENT ATTORNEY CITY | Montpelier |
| AGENT ATTORNEY STATE | VT |
| AGENT ATTORNEY POSTAL CODE | 05602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18025229901.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Sidney Collier |
| STATE OF HIGHEST COURT | VT |
| NAME OF HIGHEST STATE COURT | Supreme Court of Vermont |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 82 Maple Street |
| LCA CASE WORKLOC1 CITY | Island Pond (Brighton) |
| WORKSITE COUNTY | BRIGHTON |
| LCA CASE WORKLOC1 STATE | VT |
| WORKSITE POSTAL CODE | 05846 |
| LCA CASE WAGE RATE FROM | 135660.0 |
| LCA CASE WAGE RATE TO | 195000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 98821.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Collier |
| PREPARER FIRST NAME | Sidney |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Law Office of Sidney Collier |
| PREPARER EMAIL | [email protected] |
