| LCA CASE NUMBER | I-200-22123-129835 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-03 |
| DECISION DATE | 2022-05-10 |
| 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 | 2022-10-01 |
| END DATE | 2025-09-30 |
| 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 | Pelka Endodontics, LLC |
| EMPLOYER ADDRESS1 | 220 Regent Court |
| EMPLOYER ADDRESS2 | Suite F |
| EMPLOYER CITY | State College |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 16801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19145882472 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Pelka |
| EMPLOYER POC FIRST NAME | Katarzyna |
| EMPLOYER POC JOB TITLE | Business Manager |
| EMPLOYER POC ADDRESS1 | 220 Regent Court |
| EMPLOYER POC ADDRESS2 | Suite F |
| EMPLOYER POC CITY | State College |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 16801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19145882472 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peck |
| AGENT ATTORNEY FIRST NAME | Amy |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 10050 Regency Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023911991 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis PC |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Nebraska Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2685 Euclid Avenue |
| LCA CASE WORKLOC1 CITY | Williamsport |
| WORKSITE COUNTY | LYCOMING |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17702 |
| LCA CASE WAGE RATE FROM | 234000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 175282 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Prophit |
| PREPARER FIRST NAME | Shari |
| PREPARER BUSINESS NAME | Jackson Lewis PC |
| PREPARER EMAIL | [email protected] |
