| CASE NUMBER | I-200-23349-570440 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/15/2023 |
| DECISION DATE | 12/22/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Elementary Classroom Teacher |
| SOC CODE | 25-2056.00 |
| SOC TITLE | Special Education Teachers, Elementary School |
| FULL TIME POSITION | N |
| BEGIN DATE | 1/2/2024 |
| END DATE | 1/1/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Tiospa Zina Tribal School |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | #2 Tiospa Zina Drive |
| EMPLOYER ADDRESS2 | Post Office Box 719 |
| EMPLOYER CITY | Agency Village |
| EMPLOYER STATE | SD |
| EMPLOYER POSTAL CODE | 57262 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16056983953 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6111 |
| EMPLOYER POC LAST NAME | Peterson |
| EMPLOYER POC FIRST NAME | Craig |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Superintendent |
| EMPLOYER POC ADDRESS1 | #2 Tiospa Zina Drive |
| EMPLOYER POC ADDRESS2 | Post Office Box 719 |
| EMPLOYER POC CITY | Agency Village |
| EMPLOYER POC STATE | SD |
| EMPLOYER POC POSTAL CODE | 57262 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16056983953 |
| EMPLOYER POC PHONE EXT | 204 |
| EMPLOYER POC EMAIL | cpeterson@tzts.us |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Alpert |
| AGENT ATTORNEY FIRST NAME | Leigh |
| AGENT ATTORNEY MIDDLE NAME | Andrea |
| AGENT ATTORNEY ADDRESS1 | 4440 Arapahoe Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 110 |
| AGENT ATTORNEY CITY | Boulder |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80303 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13034448668 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | leigh@battanalpert.com |
| LAWFIRM NAME BUSINESS NAME | Battan Alpert Hutchings LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | Colorado Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | #2 Tiospa Zina Drive |
| WORKSITE ADDRESS2 | Post Office Box 719 |
| WORKSITE CITY | Agency Village |
| WORKSITE COUNTY | ROBERTS |
| WORKSITE STATE | SD |
| WORKSITE POSTAL CODE | 57262 |
| WAGE RATE OF PAY FROM | 39.01 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $22.16 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| 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 | 2024-02-01 |
