| LCA CASE NUMBER | I-200-22167-288234 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-06-16 |
| DECISION DATE | 2022-06-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-06-24 |
| END DATE | 2025-06-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Sweet Smiles MT Pleasant LLC |
| EMPLOYER ADDRESS1 | 1515 South Green Bay Road |
| EMPLOYER CITY | Mount Pleasant |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53406 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12626722393 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Kurapati |
| EMPLOYER POC FIRST NAME | Radhakrishna |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 1515 South Green Bay Road |
| EMPLOYER POC CITY | Mount Pleasant |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53406 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12626722393 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Shihab |
| AGENT ATTORNEY FIRST NAME | Sam |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 565 Metro Place South |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Dublin |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16147910500 |
| AGENT ATTORNEY PHONE EXT | 225 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Sam Shihab & Associates, LLC |
|
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1515 South Green Bay Road |
| LCA CASE WORKLOC1 CITY | Mount Pleasant |
| WORKSITE COUNTY | RACINE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53406 |
| LCA CASE WAGE RATE FROM | 90 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 85.05 |
| PW UNIT OF PAY | Hour |
| 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 | Shihab |
| PREPARER FIRST NAME | Sam |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Sam Shihab & Associates, LLC |
| PREPARER EMAIL | [email protected] |
