| LCA CASE NUMBER | I-200-22228-418215 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-16 |
| DECISION DATE | 2022-08-23 |
| 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 | 2022-09-01 |
| END DATE | 2025-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | RICHARD C EVANGELISTA DDS INC |
| EMPLOYER ADDRESS1 | 1100 Farmers Lane |
| EMPLOYER CITY | Santa Rosa |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95405 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15108483143 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Evangelista |
| EMPLOYER POC FIRST NAME | Richard |
| EMPLOYER POC MIDDLE NAME | C |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 2633 Camino Ramon |
| EMPLOYER POC ADDRESS2 | Suite 455 |
| EMPLOYER POC CITY | San Ramon |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94583 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15108483143 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kumar |
| AGENT ATTORNEY FIRST NAME | Madhuri |
| AGENT ATTORNEY ADDRESS1 | 30 Broad Street |
| AGENT ATTORNEY ADDRESS2 | Floor 14 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12123901024 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | J&K Law PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division - Second Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1100 Farmers Lane |
| LCA CASE WORKLOC1 CITY | Santa Rosa |
| WORKSITE COUNTY | SONOMA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95405 |
| LCA CASE WAGE RATE FROM | 167274 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 102357 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
