| CASE NUMBER | I-200-24078-809684 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/18/2024 |
| DECISION DATE | 3/25/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Next Generation Pastor |
| SOC CODE | 21-2011.00 |
| SOC TITLE | Clergy |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/13/2024 |
| END DATE | 8/12/2027 |
| 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 | Living Hope Fellowship |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3350 SW 182nd Ave |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Beaverton |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97003 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +15036494673 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 813110 |
| EMPLOYER POC LAST NAME | Tanner |
| EMPLOYER POC FIRST NAME | Benjamin |
| EMPLOYER POC MIDDLE NAME | Joseph |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 3350 SW 182nd Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Beaverton |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97003 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +15036494673 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ben.tanner@thisishope.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Derpo |
| AGENT ATTORNEY FIRST NAME | Rhodora |
| AGENT ATTORNEY MIDDLE NAME | Vizcarra |
| AGENT ATTORNEY ADDRESS1 | 548 Market Street |
| AGENT ATTORNEY ADDRESS2 | Unit 52643 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +14157249777 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | info@hirayaimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Hiraya Immigration |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3350 SW 182nd Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Beaverton |
| WORKSITE COUNTY | WASHINGTON |
| WORKSITE STATE | OR |
| WORKSITE POSTAL CODE | 97003 |
| WAGE RATE OF PAY FROM | 49920 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $49,171.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 Employment |
| PREPARER LAST NAME | Derpo |
| PREPARER FIRST NAME | Rhodora |
| PREPARER MIDDLE INITIAL | V |
| PREPARER BUSINESS NAME | Hiraya Immigration |
| PREPARER EMAIL | info@hirayaimmigration.com |
| BEGIN DATE CONVERTED | 2025-01-08 |
