| LCA CASE NUMBER | I-200-22138-186142 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-18 |
| DECISION DATE | 2022-05-25 |
| 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 | 2022-09-19 |
| END DATE | 2025-09-18 |
| 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 | Keystone Rural Health Consortia INC. at Bradford Dental Center |
| EMPLOYER ADDRESS1 | 600 Chestnut St |
| EMPLOYER ADDRESS2 | Suite B |
| EMPLOYER CITY | Bradford |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 16701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18143628478 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Bennardi |
| EMPLOYER POC FIRST NAME | Kristie |
| EMPLOYER POC JOB TITLE | Company CEO |
| EMPLOYER POC ADDRESS1 | 600 Chestnut St |
| EMPLOYER POC ADDRESS2 | Suite B |
| EMPLOYER POC CITY | Bradford |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 16701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18143628478 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Castrodale |
| AGENT ATTORNEY FIRST NAME | Alexander |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 625 Liberty Avenue |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14122974712 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Dentons Cohen & Grigsby |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF PENNSYLVANIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 600 Chestnut St |
| WORKSITE ADDRESS2 | Suite B |
| LCA CASE WORKLOC1 CITY | Bradford |
| WORKSITE COUNTY | MC KEAN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 16701 |
| LCA CASE WAGE RATE FROM | 175000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 149531 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Duke |
| PREPARER FIRST NAME | Emma |
| PREPARER MIDDLE INITIAL | V |
| PREPARER BUSINESS NAME | Dentons Cohen & Grigsby |
| PREPARER EMAIL | [email protected] |
