| CASE NUMBER | I-200-24236-291059 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/23/2024 |
| DECISION DATE | 8/30/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Teacher |
| SOC CODE | 25-2021.00 |
| SOC TITLE | Elementary School Teachers, Except Special Education |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/23/2024 |
| END DATE | 8/22/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | John Adams Academy , Inc |
| TRADE NAME DBA | John Adams Academy |
| EMPLOYER ADDRESS1 | 1 Sierra Gate Plaza |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Roseville |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95678 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +19167806800 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 61111 |
| EMPLOYER POC LAST NAME | Joseph |
| EMPLOYER POC FIRST NAME | Benson |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 1 Sierra Gate Plaza |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Roseville |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95678 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +19167806800 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Amale.Jopson@johnadamsacademy.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Tecson |
| AGENT ATTORNEY FIRST NAME | Alfred |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 5680King Centre Dr. Suote 600 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Alexandria |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22315 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17036473781 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | tecsonlaw@msn.com |
| LAWFIRM NAME BUSINESS NAME | Alfred Tecson Law Offices |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Ct Appellate Div. 3rd Dept. |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1 Sierra Gate Plaza |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Roseville |
| WORKSITE COUNTY | PLACER |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 95678 |
| WAGE RATE OF PAY FROM | 75,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $57,677.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | 2025-11-08 |
