| CASE NUMBER | I-200-24152-058916 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/31/2024 |
| DECISION DATE | 6/7/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Early Childhood and Special Education Teacher |
| SOC CODE | 25-2055.00 |
| SOC TITLE | Special Education Teachers, Kindergarten |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| 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 | Nutrition and Child Services Agency |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 12920 Booth Lane |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Grandview |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 64030 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18165720471 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 624410 |
| EMPLOYER POC LAST NAME | Washington |
| EMPLOYER POC FIRST NAME | Aisha |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 12920 Booth Lane |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Grandview |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 64030 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18165720471 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | aishawashington52@gmail.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Duggal |
| AGENT ATTORNEY FIRST NAME | Ashima |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | PO Box 390515 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Mountain View |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94039 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16505690333 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | ashima@duggallaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Ashima Duggal |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 12920 Booth Lane |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Grandview |
| WORKSITE COUNTY | JACKSON |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 64030 |
| WAGE RATE OF PAY FROM | 50591 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $42,710.00 |
| 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 | 2024-01-10 |
