| CASE NUMBER | I-200-25062-737055 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/3/2025 |
| DECISION DATE | 3/10/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2025 |
| END DATE | 8/31/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Valley Professionals Community Health Center Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 777 S. Main Street |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Clinton |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47842 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17658281003 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Warren |
| EMPLOYER POC FIRST NAME | Terry |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | President and CEO |
| EMPLOYER POC ADDRESS1 | 777 S. Main Street |
| EMPLOYER POC ADDRESS2 | Suite 100 |
| EMPLOYER POC CITY | Clinton |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47842 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17658281003 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Twarren@vpchc.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Marques |
| AGENT ATTORNEY FIRST NAME | Ryan |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 2500 One American Square |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46282 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13176391210 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Rmarques@lewis-kappes.com |
| LAWFIRM NAME BUSINESS NAME | Lewis Kappes PC |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | U.S. Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | Valley Professionals Community Health Center Inc. |
| WORKSITE ADDRESS2 | 1702 Lafayette Road |
| WORKSITE CITY | Crawfordsville |
| WORKSITE COUNTY | MONTGOMERY |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 47933 |
| WAGE RATE OF PAY FROM | $215,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $132,059.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-09-01 |
