| LCA CASE NUMBER | I-200-20321-914576 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-11-16 |
| DECISION DATE | 2020-11-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2020-11-16 |
| END DATE | 2023-11-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | SHEIKH & SHELAT DDS INC |
| TRADE NAME DBA | MODESTO KIDZ DENTAL |
| EMPLOYER ADDRESS1 | 2801 Coffee Road |
| EMPLOYER ADDRESS2 | Bld B |
| EMPLOYER CITY | MODESTO |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95355 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12095783131 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Sojitra |
| EMPLOYER POC FIRST NAME | Prakash |
| EMPLOYER POC JOB TITLE | MANAGER |
| EMPLOYER POC ADDRESS 1 | 2801 Coffee Road |
| EMPLOYER POC ADDRESS 2 | Bld B |
| EMPLOYER POC CITY | MODESTO |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95355 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15104566131 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BAXLEY |
| AGENT ATTORNEY FIRST NAME | SHIRLEY |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 2121 West Jester Way |
| AGENT ATTORNEY CITY | Post Falls |
| AGENT ATTORNEY STATE | ID |
| AGENT ATTORNEY POSTAL CODE | 83854 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17143288090 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Shirley's Immigration Service |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2801 Coffee Road |
| WORKSITE ADDRESS2 | Bld B |
| LCA CASE WORKLOC1 CITY | Modesto |
| WORKSITE COUNTY | STANISLAUS |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95355 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BAXLEY |
| PREPARER FIRST NAME | SHIRLEY |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | SHIRLEY'S IMMIGRATION SERVICE |
| PREPARER EMAIL | [email protected] |
