| LCA CASE NUMBER | I-200-22088-016407 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-29 |
| DECISION DATE | 2022-04-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Human Resources Specialist |
| SOC CODE | 13-1071.00 |
| SOC TITLE | Human Resources Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-05-16 |
| END DATE | 2025-05-15 |
| 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 | Anderson Dental Associates, PLLC |
| TRADE NAME DBA | Renova Smiles |
| EMPLOYER ADDRESS1 | 3701 S. George Mason Drive |
| EMPLOYER ADDRESS2 | Suite C7N |
| EMPLOYER CITY | Falls Church |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22041 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17039988826 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Anderson |
| EMPLOYER POC FIRST NAME | Joshua |
| EMPLOYER POC JOB TITLE | Business Owner/CEO |
| EMPLOYER POC ADDRESS1 | 3701 S, George Mason Drive |
| EMPLOYER POC ADDRESS2 | Suite C7N |
| EMPLOYER POC CITY | Falls Church |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22041 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17039988828 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hines |
| AGENT ATTORNEY FIRST NAME | Claudia |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 2903 Arizona Avenue, NW |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20016 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12025498777 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Hines & Associates, PLLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3701 S. George Mason Drive |
| WORKSITE ADDRESS2 | C7N |
| LCA CASE WORKLOC1 CITY | FALLS CHURCH |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22041 |
| LCA CASE WAGE RATE FROM | 71906 |
| LCA CASE WAGE RATE TO | 75000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 71906 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | P-200-21266-602760 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Hines |
| PREPARER FIRST NAME | Claudia |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Hines & Associates, PLLC |
| PREPARER EMAIL | [email protected] |
