| LCA CASE NUMBER | I-200-21175-423820 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-24 |
| DECISION DATE | 2021-07-01 |
| 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 | 2021-08-25 |
| END DATE | 2024-08-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Promise Healthcare NFP |
| EMPLOYER ADDRESS1 | 819 Bloomington Road |
| EMPLOYER CITY | Champaign |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61820 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12174035401 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Lamb |
| EMPLOYER POC FIRST NAME | Deanna |
| EMPLOYER POC JOB TITLE | Interim Executive Director |
| EMPLOYER POC ADDRESS1 | 819 Bloomington Road |
| EMPLOYER POC CITY | Champaign |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61820 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12174035401 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kuenning |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | Philip |
| AGENT ATTORNEY ADDRESS1 | 411 W University Ave |
| AGENT ATTORNEY CITY | Champaign |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 61820 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12173514040 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Erwin Martinkus & Cole Ltd |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | ILLINOIS SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 819 Bloomington Road |
| LCA CASE WORKLOC1 CITY | Champaign |
| WORKSITE COUNTY | CHAMPAIGN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61820 |
| LCA CASE WAGE RATE FROM | 135000 |
| LCA CASE WAGE RATE TO | 145000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112050 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 and Employment |
