| CASE NUMBER | I-200-23285-426968 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/12/2023 |
| DECISION DATE | 10/19/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | High School Science Teacher |
| SOC CODE | 25-2031.00 |
| SOC TITLE | Secondary School Teachers, Except Special and Career/Technical Education |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/3/2024 |
| END DATE | 1/2/2026 |
| 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 | Jefferson Independent School District |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1600 M.L.K. Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Jefferson |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75657 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19036652461 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Phillips |
| EMPLOYER POC FIRST NAME | Lynn |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Academic Officer |
| EMPLOYER POC ADDRESS1 | 1600 M.L.K. Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Jefferson |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75657 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19036652461 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | rlphillips@jeffersonisd.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Lachica |
| AGENT ATTORNEY FIRST NAME | Leandro |
| AGENT ATTORNEY MIDDLE NAME | Bolesa |
| AGENT ATTORNEY ADDRESS1 | 139 FULTON STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 819 |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10038 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12129644273 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lblachica@lachicalaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Leandro B. Lachica |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | #1 Bulldog Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Jefferson |
| WORKSITE COUNTY | MARION |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 75657 |
| WAGE RATE OF PAY FROM | 44830 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $44,230.00 |
| 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 | 2024-03-01 |
