| LCA CASE NUMBER | I-200-22228-418271 |
| 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 | 2022-09-04 |
| END DATE | 2025-09-03 |
| 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 | KEYSTON RURAL HEALTH CONSORTIA, INC. |
| EMPLOYER ADDRESS1 | 90 EAST 2ND STREET |
| EMPLOYER CITY | EMPORIUM |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15834 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18142452119 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | BENNARDI |
| EMPLOYER POC FIRST NAME | KRISTIE |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 90 EAST 2ND STREET |
| EMPLOYER POC CITY | EMPORIUM |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15834 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18142452119 |
| 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 ADDRESS2 | 5TH FLOOR |
| 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 P.C. |
| STATE OF HIGHEST COURT | PA |
|
| NAME OF HIGHEST STATE COURT | PENNSYLVANIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 81 CLARION ROAD |
| LCA CASE WORKLOC1 CITY | JOHNSONBURG |
| WORKSITE COUNTY | ELK |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15845 |
| LCA CASE WAGE RATE FROM | 175000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 172390 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | PILLION-GARDNER |
| PREPARER FIRST NAME | NOAH |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | DENTONS COHEN & GRIGSBY P.C. |
| PREPARER EMAIL | [email protected] |
