| CASE NUMBER | I-200-24177-146083 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/25/2024 |
| DECISION DATE | 7/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Elementary Teacher, 4th-5th |
| SOC CODE | 25-2021.00 |
| SOC TITLE | Elementary School Teachers, Except Special Education |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/22/2024 |
| END DATE | 7/21/2027 |
| 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 | Covenant Christian Academy of Monroe NC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2706 Secrest Shortcut Rd |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Monroe |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28110 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17047741062 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 813110 |
| EMPLOYER POC LAST NAME | Funderburk |
| EMPLOYER POC FIRST NAME | Amanda |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS1 | 2706 Secrest Shortcut Rd |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Monroe |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28110 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17047741062 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ccamonroe@yahoo.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Snyder |
| AGENT ATTORNEY FIRST NAME | Benjamin |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 11 Times Square |
| AGENT ATTORNEY ADDRESS2 | Floor 34 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12129730572 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | laborfilings@csglaw.com |
| LAWFIRM NAME BUSINESS NAME | Chiesa Shahinian & Giantomasi PC |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court of North Carolina |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2706 Secrest Shortcut Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Monroe |
| WORKSITE COUNTY | UNION |
| WORKSITE STATE | NC |
| WORKSITE POSTAL CODE | 28110 |
| WAGE RATE OF PAY FROM | 46,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $43,410.00 |
| 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 | 2025-10-07 |
