| LCA CASE NUMBER | I-200-21063-120623 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-04 |
| DECISION DATE | 2021-03-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-30 |
| END DATE | 2024-08-29 |
| 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 | Great Salt Plains Health Center, Inc. |
| EMPLOYER ADDRESS1 | 405 S. Oklahoma |
| EMPLOYER CITY | Cherokee |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 73728 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15802151766 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Starkey |
| EMPLOYER POC FIRST NAME | Timothy |
| EMPLOYER POC MIDDLE NAME | Edward |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 405 S. Oklahoma |
| EMPLOYER POC CITY | Cherokee |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 73728 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15802151766 |
| EMPLOYER POC EMAIL | tstarkey@gsphealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Azhar |
| AGENT ATTORNEY FIRST NAME | Furqan |
| AGENT ATTORNEY MIDDLE NAME | Sunny |
| AGENT ATTORNEY ADDRESS1 | 614 S. Watters Rd |
| AGENT ATTORNEY ADDRESS2 | Ste. C |
| AGENT ATTORNEY CITY | Allen |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75013 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12144201200 |
| AGENT ATTORNEY EMAIL ADDRESS | FURQAN@AZHARLAWFIRM.COM |
| LAWFIRM NAME BUSINESS NAME | Azhar and Azhar, PLLC |
| STATE OF HIGHEST COURT | OK |
| NAME OF HIGHEST STATE COURT | OKLAHOMA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 405 S. OKLAHOMA |
| LCA CASE WORKLOC1 CITY | CHEROKEE |
| WORKSITE COUNTY | ALFALFA |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 73728 |
| LCA CASE WAGE RATE FROM | 155000 |
| LCA CASE WAGE RATE TO | 155001 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 153691 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Azhar |
| PREPARER FIRST NAME | Furqan |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Azhar and Azhar, PLLC |
| PREPARER EMAIL | furqan@azharlawfirm.com |
