| CASE NUMBER | I-200-24004-617070 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/4/2024 |
| DECISION DATE | 1/11/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Elementary School Teacher |
| SOC CODE | 25-2021.00 |
| SOC TITLE | Elementary School Teachers, Except Special Education |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/1/2024 |
| END DATE | 1/31/2025 |
| 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 | Duchesne County School District |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1010 E 200 N |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Roosevelt |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84066 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14357254520 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Bertoch |
| EMPLOYER POC FIRST NAME | Phillip |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS1 | 1010 E 200 N |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Roosevelt |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84066 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14357254520 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | pbertoch@dcsd.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Wheelwright |
| AGENT ATTORNEY FIRST NAME | Timothy |
| AGENT ATTORNEY MIDDLE NAME | Milton |
| AGENT ATTORNEY ADDRESS1 | 111 South Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2400 |
| AGENT ATTORNEY CITY | Salt Lake City |
| AGENT ATTORNEY STATE | UT |
| AGENT ATTORNEY POSTAL CODE | 84111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18012971290 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | tim.wheelwright@dentons.com |
| LAWFIRM NAME BUSINESS NAME | Dentons Durham Jones Pinegar P.C. |
| STATE OF HIGHEST COURT | UT |
| NAME OF HIGHEST STATE COURT | U.S. Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1010 E 200 N |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Roosevelt |
| WORKSITE COUNTY | DUCHESNE |
| WORKSITE STATE | UT |
| WORKSITE POSTAL CODE | 84066 |
| WAGE RATE OF PAY FROM | 57454 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $42,100.00 |
| 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 | 2 |
| 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 and Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-02 |
