| LCA CASE NUMBER | I-200-22060-940964 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-01 |
| DECISION DATE | 2022-03-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dental Director |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-03-02 |
| END DATE | 2025-03-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | 42 North Dental Care, PLLC |
| EMPLOYER ADDRESS1 | 200 5th Ave |
| EMPLOYER ADDRESS2 | Floor 3, Mailbox 6 |
| EMPLOYER CITY | Waltham |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02451 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17817900502 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Witty |
| EMPLOYER POC FIRST NAME | Andrew |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 200 5th Avenue |
| EMPLOYER POC ADDRESS2 | Floor 3, Mailbox 6 |
| EMPLOYER POC CITY | Waltham |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02451 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17817900502 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Goss |
| AGENT ATTORNEY FIRST NAME | Elizabeth |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 456 Hanover Street |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02113 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16173579300 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Goss Associates, LLC |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3 Northwestern Drive |
| LCA CASE WORKLOC1 CITY | Bloomfield |
| WORKSITE COUNTY | BLOOMFIELD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06002 |
| LCA CASE WAGE RATE FROM | 160347 |
| LCA CASE WAGE RATE TO | 166400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 160347 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Goss |
| PREPARER FIRST NAME | Elizabeth |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Goss Associates, LLC |
| PREPARER EMAIL | [email protected] |
