| CASE NUMBER | I-200-24268-360410 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/24/2024 |
| DECISION DATE | 10/1/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Dentist (Managing Clinical Director) |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/2/2025 |
| END DATE | 1/1/2028 |
| 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 | Apollonia Dental LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3132 Market Place |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Onalaska |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54650 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13154546000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Ximenes |
| EMPLOYER POC FIRST NAME | Juliana |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Global Immigration Manager |
| EMPLOYER POC ADDRESS1 | Team TAG Services, LLC |
| EMPLOYER POC ADDRESS2 | 800 W Fulton Market |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60607 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13154546000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | juliana.ximenescoutinhodias@aspendental.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | O'Donoghue |
| AGENT ATTORNEY FIRST NAME | Robin |
| AGENT ATTORNEY MIDDLE NAME | Dana |
| AGENT ATTORNEY ADDRESS1 | O'Donoghue Law, LLC |
| AGENT ATTORNEY ADDRESS2 | 2067 Massachusetts Avenue, 5th Floor |
| AGENT ATTORNEY CITY | Cambridge |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2140 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16174929898 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | rdod@odonoghuelawllc.com |
| LAWFIRM NAME BUSINESS NAME | O'Donoghue Law, LLC |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2809 Oakwood Mall Drive |
| WORKSITE ADDRESS2 | Suite C |
| WORKSITE CITY | Eau Claire |
| WORKSITE COUNTY | EAU CLAIRE |
| WORKSITE STATE | WI |
| WORKSITE POSTAL CODE | 54701 |
| WAGE RATE OF PAY FROM | $182,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $156,790.00 |
| 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 | 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-02 |
