| LCA CASE NUMBER | I-200-22025-851651 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-01-25 |
| DECISION DATE | 2022-02-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-02-14 |
| END DATE | 2025-02-13 |
| 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 | Sullivan County Oral Health Collaborative, Inc. |
| TRADE NAME DBA | Community Dental Care Claremont |
| EMPLOYER ADDRESS1 | 1 Tremont Street |
| EMPLOYER CITY | Claremont |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 03743 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16032871300 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Bouchard |
| EMPLOYER POC FIRST NAME | Sally |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 1 Tremont Street |
| EMPLOYER POC CITY | Claremont |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 03743 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16032871300 |
| EMPLOYER POC EMAIL | cdcc@comcast.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | White |
| AGENT ATTORNEY FIRST NAME | Emily |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 45 S. Main Street |
| AGENT ATTORNEY ADDRESS2 | P.O. Box 3550 |
| AGENT ATTORNEY CITY | Concord |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 03302 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16032239175 |
| AGENT ATTORNEY EMAIL ADDRESS | csalvato@orr-reno.com |
| LAWFIRM NAME BUSINESS NAME | Orr & Reno, P.A. |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | NH Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1 Tremont Street |
| LCA CASE WORKLOC1 CITY | Claremont |
| WORKSITE COUNTY | CLAREMONT CITY |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 03743 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| 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 | Salvato |
| PREPARER FIRST NAME | Cody |
| PREPARER MIDDLE INITIAL | S. |
| PREPARER BUSINESS NAME | Orr & Reno, P.A. |
| PREPARER EMAIL | csalvato@orr-reno.com |