| CASE NUMBER | I-200-24178-151067 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/26/2024 |
| DECISION DATE | 7/3/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Religious Activities and Education Coordinator |
| SOC CODE | 21-2021.00 |
| SOC TITLE | Directors, Religious Activities and Education |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2024 |
| END DATE | 6/30/2027 |
| 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 | PENNSYLVANIA CONFERENCE of SEVENTH-DAY ADVENTISTS |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2359 MOUNTAIN RD. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Hamburg |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19526 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16103748331 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 813110 |
| EMPLOYER POC LAST NAME | Shives |
| EMPLOYER POC FIRST NAME | Shawn |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Executive Secretary, VP Administration |
| EMPLOYER POC ADDRESS1 | 2359 MOUNTAIN RD. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Hamburg |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19526 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16103748331 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | sshives@paconference.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Nikova |
| AGENT ATTORNEY FIRST NAME | Nelli |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 79 Dartmouth St. |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02116 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +18322736636 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | nelli@nikovalaw.com |
| LAWFIRM NAME BUSINESS NAME | NELLI NIKOVA PC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2363 Mountain Rd. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Hamburg |
| WORKSITE COUNTY | BERKS |
| WORKSITE STATE | PA |
| WORKSITE POSTAL CODE | 19526 |
| WAGE RATE OF PAY FROM | 62,723.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $43,950.00 |
| PW UNIT OF PAY | Year |
| 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 | 2024-01-07 |
