| CASE NUMBER | I-200-24009-629079 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/9/2024 |
| DECISION DATE | 1/17/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Elementary School Teacher, Dual Immersion Program (Mandarin) |
| SOC CODE | 25-2021.00 |
| SOC TITLE | Elementary School Teachers, Except Special Education |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2024 |
| END DATE | 6/30/2027 |
| 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 | Pasadena Unified School District |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 351 S. Hudson Ave. |
| EMPLOYER ADDRESS2 | Room 116 |
| EMPLOYER CITY | Pasadena |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16263963600 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Alcazar |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 351 S. Hudson Ave. |
| EMPLOYER POC ADDRESS2 | Room 116 |
| EMPLOYER POC CITY | Pasadena |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16263963600 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | alcazar.jennifer@pusd.us |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Benjamin |
| AGENT ATTORNEY FIRST NAME | Malathi |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 60846 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Pasadena |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91116 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16267441750 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | malathi@malathibenjamin.com |
| LAWFIRM NAME BUSINESS NAME | Malathi Benjamin, PLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | Field Elementary School |
| WORKSITE ADDRESS2 | 3600 E. Sierra Madre Blvd. |
| WORKSITE CITY | Pasadena |
| WORKSITE COUNTY | LOS ANGELES |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 91107 |
| WAGE RATE OF PAY FROM | 5686 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Month |
| PREVAILING WAGE | $5,686.00 |
| PW UNIT OF PAY | Month |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2023 |
| 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 |
