| LCA CASE NUMBER | I-200-23257-348913 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-09-14 |
| DECISION DATE | 2023-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Dental Officer |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-01-03 |
| END DATE | 2027-01-02 |
| 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 Street |
| EMPLOYER ADDRESS2 | PO Box 590 |
| EMPLOYER CITY | Eagle Butte |
| EMPLOYER STATE | SD |
| EMPLOYER POSTAL CODE | 57625 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16059640785 |
| NAICS CODE | 921150 |
| EMPLOYER POC LAST NAME | Simon |
| EMPLOYER POC FIRST NAME | Ramona |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 24276 166th St. |
| EMPLOYER POC ADDRESS2 | PO Box 590 |
| EMPLOYER POC CITY | Eagle Butte |
| EMPLOYER POC STATE | SD |
| EMPLOYER POC POSTAL CODE | 57625 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16059640785 |
| EMPLOYER POC EMAIL | ramona.simon@ihs.gov |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hertel |
| AGENT ATTORNEY FIRST NAME | Mark |
| AGENT ATTORNEY ADDRESS1 | 2221 Camino Del Rio South |
| AGENT ATTORNEY ADDRESS2 | Ste. 201 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16199233277 |
| AGENT ATTORNEY EMAIL ADDRESS | mark@feldmanfeldman.com |
| LAWFIRM NAME BUSINESS NAME | Feldman Feldman & Associates, PC |
|
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 24276 166th St. |
| LCA CASE WORKLOC1 CITY | Eagle Butte |
| WORKSITE COUNTY | ZIEBACH |
| LCA CASE WORKLOC1 STATE | SD |
| WORKSITE POSTAL CODE | 57625 |
| LCA CASE WAGE RATE FROM | 316305 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 108410 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
