| LCA CASE NUMBER | I-200-20253-811971 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-09-09 |
| DECISION DATE | 2022-09-28 |
| ORIGINAL CERT DATE | 2020-09-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-09-28 |
| END DATE | 2023-09-27 |
| 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 | Cherry Tree Dental, LLC |
| EMPLOYER ADDRESS1 | 8025 Excelsior Drive |
| EMPLOYER CITY | Madison |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53717 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18776282212 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Young |
| EMPLOYER POC FIRST NAME | Jack |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 8025 Excelsior Drive |
| EMPLOYER POC CITY | Madison |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53717 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16088332212 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Meilink |
| AGENT ATTORNEY FIRST NAME | Kelli |
| AGENT ATTORNEY MIDDLE NAME | Jean |
| AGENT ATTORNEY ADDRESS1 | 4801 Main Stret |
| AGENT ATTORNEY ADDRESS2 | Suite 1000 |
| AGENT ATTORNEY CITY | Kansas City |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 64112 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18169838309 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Husch Blackwell LLP |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 15430 National Avenue |
| LCA CASE WORKLOC1 CITY | New Berlin |
| WORKSITE COUNTY | WAUKESHA |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53151 |
| LCA CASE WAGE RATE FROM | 168000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 135221 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
