| CASE NUMBER | I-200-24213-235119 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/31/2024 |
| DECISION DATE | 8/7/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Special Education Teacher |
| SOC CODE | 25-2056.00 |
| SOC TITLE | Special Education Teachers, Elementary School |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/31/2027 |
| 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 | Kodiak Island Borough School District |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 722 Mill Bay Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Kodiak |
| EMPLOYER STATE | AK |
| EMPLOYER POSTAL CODE | 99615 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +19074867550 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Saunders |
| EMPLOYER POC FIRST NAME | Kimberlee |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Assistant Superintendent |
| EMPLOYER POC ADDRESS1 | 722 Mill Bay Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Kodiak |
| EMPLOYER POC STATE | AK |
| EMPLOYER POC POSTAL CODE | 99615 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +19074867550 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ksaunders01@kibsd.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Ford |
| AGENT ATTORNEY FIRST NAME | Russell |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 48 Free Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 04101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12076137331 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | russell@fordmurraylaw.com |
| LAWFIRM NAME BUSINESS NAME | FordMurray |
| 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 | 128 Powell Ave |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Kodiak |
| WORKSITE COUNTY | KODIAK ISLAND |
| WORKSITE STATE | AK |
| WORKSITE POSTAL CODE | 99615 |
| WAGE RATE OF PAY FROM | 55,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $42,790.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | Ford |
| PREPARER FIRST NAME | Russell |
| PREPARER MIDDLE INITIAL | C. |
| PREPARER BUSINESS NAME | FordMurray |
| PREPARER EMAIL | russell@fordmurraylaw.com |
| BEGIN DATE CONVERTED | 2024-01-09 |
