| CASE NUMBER | I-200-24177-147059 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/25/2024 |
| DECISION DATE | 7/2/2024 |
| 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 | 7/1/2024 |
| END DATE | 6/30/2027 |
| 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 | Creighton Elementary School District |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2702 E. Flower St. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Phoenix |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85016 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16023816000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Laurin |
| EMPLOYER POC FIRST NAME | Joel |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Executive Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 2702 E. Flower Rd. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | 85016 |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85016 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16023816000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jlaurin@creightonschools.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Ortega |
| AGENT ATTORNEY FIRST NAME | Phil |
| AGENT ATTORNEY MIDDLE NAME | David |
| AGENT ATTORNEY ADDRESS1 | 9307 S. 51st Ave. |
| AGENT ATTORNEY ADDRESS2 | Unit #645 |
| AGENT ATTORNEY CITY | Laveen |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85339 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16025853355 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | pdo@pdortegalaw.com |
| LAWFIRM NAME BUSINESS NAME | PD Ortega Law Group PLLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4601 N 34th St #3320 |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Phoenix |
| WORKSITE COUNTY | MARICOPA |
| WORKSITE STATE | AZ |
| WORKSITE POSTAL CODE | 85018 |
| WAGE RATE OF PAY FROM | 48,855.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $42,320.00 |
| 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 Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-07 |
