| CASE NUMBER | I-200-24059-753940 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/27/2024 |
| DECISION DATE | 3/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 4/2/2024 |
| END DATE | 4/1/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Sage Dental Group of Florida, PLLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 6600 Congress Avenue |
| EMPLOYER ADDRESS2 | Suite 150 |
| EMPLOYER CITY | Boca Raton |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33487 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15619999650 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Beighley |
| EMPLOYER POC FIRST NAME | Laura |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 6600 Congress Avenue |
| EMPLOYER POC ADDRESS2 | Suite 150 |
| EMPLOYER POC CITY | Boca Raton |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33487 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15619999650 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | lbeighley@mysagedental.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Mattingly |
| AGENT ATTORNEY FIRST NAME | Alix |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 100 North Tampa Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3600 |
| AGENT ATTORNEY CITY | Tampa |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18132217455 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Alix.Mattingly@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3736 Turman Loop |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Wesley Chapel |
| WORKSITE COUNTY | PASCO |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 33544 |
| WAGE RATE OF PAY FROM | 200000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $136,885.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Mattingly |
| PREPARER FIRST NAME | Alix |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Ogletree Deakins Nash Smoak & Stewart, P.C. |
| PREPARER EMAIL | anabel.rodriguez@ogletreedeakins.com |
| BEGIN DATE CONVERTED | 2024-02-04 |
