| LCA CASE NUMBER | I-200-21222-512871 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-10 |
| DECISION DATE | 2021-08-16 |
| 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 | 2021-08-17 |
| END DATE | 2023-08-16 |
| 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 | 1st Family Dental P.C. |
| TRADE NAME DBA | 1st Family Dental of Pulaski |
| EMPLOYER ADDRESS1 | 4707 N Pulaski Rd |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60630 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17735099200 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Karam |
| EMPLOYER POC FIRST NAME | Karam |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 120 E Lake Street |
| EMPLOYER POC CITY | Addison |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16308949700 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hayes-Jimenez |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY ADDRESS1 | 1170 Old Henderson Rd. |
| AGENT ATTORNEY ADDRESS2 | Ste 105 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43220 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16144592830 |
| AGENT ATTORNEY PHONE EXT | 3 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Zeidan & Associates, llc |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | 1st Family Dental, P.C. DBA 1st Family Dental of Logan |
| WORKSITE ADDRESS1 | 2511 N Milwaukee Ave |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60647 |
| LCA CASE WAGE RATE FROM | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 111155 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
