| LCA CASE NUMBER | I-200-21050-089342 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-19 |
| DECISION DATE | 2021-02-26 |
| 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 | 2021-08-19 |
| END DATE | 2024-08-18 |
| 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 | McCoy Samples Mattingly Dental Clinic LLC |
| EMPLOYER ADDRESS1 | 850 Fairway Dr. |
| EMPLOYER CITY | Chillicothe |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 64601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16606463802 |
| EMPLOYER PHONE EXT | 124 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | McCoy |
| EMPLOYER POC FIRST NAME | Rolfe |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 850 Fairway Dr. |
| EMPLOYER POC CITY | Chillicothe |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 64601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16606463802 |
| EMPLOYER POC PHONE EXT | 124 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mdivani |
| AGENT ATTORNEY FIRST NAME | Mira |
| AGENT ATTORNEY ADDRESS1 | 7007 College Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 460 |
| AGENT ATTORNEY CITY | Overland Park |
| AGENT ATTORNEY STATE | KS |
| AGENT ATTORNEY POSTAL CODE | 66211 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19133176200 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Mdivani Corporate Immigration Law Firm |
|
| STATE OF HIGHEST COURT | KS |
| NAME OF HIGHEST STATE COURT | Supreme Court of the United States |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 580 Fairway Dr. |
| LCA CASE WORKLOC1 CITY | Chillicothe |
| WORKSITE COUNTY | LIVINGSTON |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 64601 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122013 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
