| LCA CASE NUMBER | I-200-23044-770264 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-02-13 |
| DECISION DATE | 2023-02-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2023-02-15 |
| END DATE | 2026-02-06 |
| 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 | St. John Smiles P.C. |
| TRADE NAME DBA | St. John Smiles |
| EMPLOYER ADDRESS1 | 9486 Wicker Ave |
| EMPLOYER CITY | St. John |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46373 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13123849493 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Nagaraj |
| EMPLOYER POC FIRST NAME | Abhishek |
| EMPLOYER POC JOB TITLE | Dentist/Co-Owner |
| EMPLOYER POC ADDRESS1 | 9486 Wicker Ave |
| EMPLOYER POC CITY | St. John |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46373 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13123849493 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ostrom |
| AGENT ATTORNEY FIRST NAME | Caroline |
| AGENT ATTORNEY MIDDLE NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | 825 Nicollet Mall |
| AGENT ATTORNEY ADDRESS2 | Suite 401 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16128221901 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Ostrom Law Office, LLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9486 Wicker Ave |
| LCA CASE WORKLOC1 CITY | St. John |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46373 |
| LCA CASE WAGE RATE FROM | 31 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 30.81 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 Business |
| PREPARER LAST NAME | Hall-Ford |
| PREPARER FIRST NAME | Maura |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Ostrom Law Office, LLC |
| PREPARER EMAIL | [email protected] |
