| CASE NUMBER | I-200-23283-422287 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/10/2023 |
| DECISION DATE | 10/17/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Executive Pastpr |
| SOC CODE | 21-2011.00 |
| SOC TITLE | Clergy |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2024 |
| END DATE | 12/31/2026 |
| 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 | Northpoint Church |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 988 West Ontario Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Corona |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92882 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19517341335 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 813110 |
| EMPLOYER POC LAST NAME | Schaefer |
| EMPLOYER POC FIRST NAME | Perry |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | Vice Chair |
| EMPLOYER POC ADDRESS1 | 988 West Ontario Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Corona |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92882 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19517341335 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | pschaefer@northpointcorona.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Ludwig |
| AGENT ATTORNEY FIRST NAME | Samera |
| AGENT ATTORNEY MIDDLE NAME | Syeda |
| AGENT ATTORNEY ADDRESS1 | 175 West Jackson Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 950 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13126287189 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | sludwig@kilpatricktownsend.com |
| LAWFIRM NAME BUSINESS NAME | Kilpatrick Townsend & Stockton LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 988 West Ontario Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Corona |
| WORKSITE COUNTY | RIVERSIDE |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 92882 |
| WAGE RATE OF PAY FROM | 80000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $63,586.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-01 |
