| CASE NUMBER | I-202-24088-837339 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/28/2024 |
| DECISION DATE | 4/4/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B1 Sing |
| JOB TITLE | 3rd Grade Elementary Teacher |
| SOC CODE | 25-2021.00 |
| SOC TITLE | Elementary School Teachers, Except Special Education |
| FULL TIME POSITION | N |
| BEGIN DATE | 5/24/2024 |
| END DATE | 5/22/2025 |
| 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 | Laveen School District |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 5001 West Dobbins Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Laveen |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85339 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16022379100 |
| EMPLOYER PHONE EXT | 3013 |
| NAICS CODE | 6111 |
| EMPLOYER POC LAST NAME | Thomas |
| EMPLOYER POC FIRST NAME | Tim |
| EMPLOYER POC MIDDLE NAME | Allen |
| EMPLOYER POC JOB TITLE | Assistant Superintendent of Human Resources |
| EMPLOYER POC ADDRESS1 | 5001 West Dobbins Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Laveen |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85339 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16022379100 |
| EMPLOYER POC PHONE EXT | 3013 |
| EMPLOYER POC EMAIL | tthomas2@laveeneld.org |
| AGENT REPRESENTING EMPLOYER | No |
| AGENT ATTORNEY LAST NAME | |
| AGENT ATTORNEY FIRST NAME | |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | |
| AGENT ATTORNEY COUNTRY | |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | |
| LAWFIRM NAME BUSINESS NAME | |
| STATE OF HIGHEST COURT | |
| NAME OF HIGHEST STATE COURT | |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Paseo Pointe School |
| WORKSITE ADDRESS1 | 8800 SOuth 55th Ave |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Laveen |
| WORKSITE COUNTY | MARICOPA |
| WORKSITE STATE | AZ |
| WORKSITE POSTAL CODE | 85339 |
| WAGE RATE OF PAY FROM | 30 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $40.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $18.88 |
| PW UNIT OF PAY | Hour |
| 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 | N/A |
| WILLFUL VIOLATOR | N/A |
| 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 | 2025-12-05 |
