| CASE NUMBER | I-200-23300-461795 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/27/2023 |
| DECISION DATE | 11/3/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | HIGH SCHOOL SCIENCE TEACHER |
| SOC CODE | 25-2031.00 |
| SOC TITLE | Secondary School Teachers, Except Special and Career/Technical Education |
| FULL TIME POSITION | Y |
| BEGIN DATE | 4/7/2024 |
| END DATE | 4/6/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | LAURENS SCHOOL DISTRICT 55 |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 301 HILLCREST DRIVE |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | LAURENS |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29360 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18649848125 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | MADDEN |
| EMPLOYER POC FIRST NAME | RENEE |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | DIRECTOR OF HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | 301 HILLCREST DRIVE |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | LAURENS |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29360 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18649848125 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | RMADDEN@LAURENS55.ORG |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | NEEDLE |
| AGENT ATTORNEY FIRST NAME | LAWRENCE |
| AGENT ATTORNEY MIDDLE NAME | JAY |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 924 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | COLUMBIA |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18033761203 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | LNEEDLE@LNEEDLE.COM |
| LAWFIRM NAME BUSINESS NAME | LAWRENCE J NEEDLE, PA |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 5058 US-76 |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | LAURENS |
| WORKSITE COUNTY | RICHLAND |
| WORKSITE STATE | SC |
| WORKSITE POSTAL CODE | 29360 |
| WAGE RATE OF PAY FROM | 65167 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $38,820.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | 2024-07-04 |
