| LCA CASE NUMBER | I-200-20190-700701 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-07 |
| DECISION DATE | 2020-07-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Dental Officer |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-01-03 |
| END DATE | 2024-01-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Cheyenne River Sioux Tribe |
| EMPLOYER ADDRESS1 | 24276 166th St. Airport Road |
| EMPLOYER CITY | Eagle Butte |
| EMPLOYER STATE | SD |
| EMPLOYER POSTAL CODE | 57625 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16059640788 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Provost |
| EMPLOYER POC FIRST NAME | Lynn |
| EMPLOYER POC JOB TITLE | Health Department CEO |
| EMPLOYER POC ADDRESS1 | 24276 166th St. Airport Road |
| EMPLOYER POC CITY | Eagle Butte |
| EMPLOYER POC STATE | SD |
| EMPLOYER POC POSTAL CODE | 57625 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16059640788 |
| EMPLOYER POC EMAIL | lynn.provost@ihs.gov |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | DAIAN |
| AGENT ATTORNEY FIRST NAME | Anca |
| AGENT ATTORNEY ADDRESS1 | 14205 SE 36th St. |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Bellevue |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98066 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14255028479.0 |
| AGENT ATTORNEY EMAIL ADDRESS | adaianlaw@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Anca Daian |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | WASHINGTON SUPREME COURT |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 24276 166th St. Airport Road |
| LCA CASE WORKLOC1 CITY | Eagle Butte |
| WORKSITE COUNTY | DEWEY |
| LCA CASE WORKLOC1 STATE | SD |
| WORKSITE POSTAL CODE | 57625 |
| LCA CASE WAGE RATE FROM | 259168.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 241717.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
