| LCA CASE NUMBER | I-200-21056-101064 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-25 |
| DECISION DATE | 2021-03-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-15 |
| END DATE | 2023-03-14 |
| 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 | Jack D. Manikowski, D.D.S., LLC |
| TRADE NAME DBA | Lincoln Park Smiles |
| EMPLOYER ADDRESS1 | 1701 North Sheffield Ave. |
| EMPLOYER ADDRESS2 | Suite 101 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60614 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13123371665 |
| NAICS CODE | 561110 |
| EMPLOYER POC LAST NAME | Manikowski |
| EMPLOYER POC FIRST NAME | Jack |
| EMPLOYER POC JOB TITLE | Dentist |
| EMPLOYER POC ADDRESS 1 | 1701 North Sheffield Ave. |
| EMPLOYER POC ADDRESS 2 | Suite 101 |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60614 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13123371665 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jensen |
| AGENT ATTORNEY FIRST NAME | James |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 6 PPG Place |
| AGENT ATTORNEY ADDRESS2 | Third Floor |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14122351492 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | PORTER WRIGHT MORRIS & ARTHUR LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1701 North Sheffield Ave. |
| WORKSITE ADDRESS2 | Suite 101 |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60614 |
| LCA CASE WAGE RATE FROM | 105000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 100630 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Jensen |
| PREPARER FIRST NAME | James |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Porter Wright Morris & Arthur |
| PREPARER EMAIL | [email protected] |
