| CASE NUMBER | I-200-25013-614108 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/13/2025 |
| DECISION DATE | 1/21/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Secondary School Teacher |
| SOC CODE | 25-3099.00 |
| SOC TITLE | Teachers and Instructors, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/20/2025 |
| END DATE | 1/19/2028 |
| 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 | Lakes International Language Academy |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 246 11th Avenue SE |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Forest Lake |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55025 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16514640771 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Cummings |
| EMPLOYER POC FIRST NAME | Tami |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 246 11th Avenue SE |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Forest Lake |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55025 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16512526721 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | tcummings@mylila.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Feist |
| AGENT ATTORNEY FIRST NAME | Sandra |
| AGENT ATTORNEY MIDDLE NAME | Ellen |
| AGENT ATTORNEY ADDRESS1 | 825 Nicollet Mall |
| AGENT ATTORNEY ADDRESS2 | Suite 1735 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16123535530 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | sfeist@feistlaw.com |
| LAWFIRM NAME BUSINESS NAME | Feist Law & Advocacy |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 19850 Fenway Avenue North |
| WORKSITE ADDRESS2 | Upper School, Headwaters Campus |
| WORKSITE CITY | Forest Lake |
| WORKSITE COUNTY | WASHINGTON |
| WORKSITE STATE | MN |
| WORKSITE POSTAL CODE | 55025 |
| WAGE RATE OF PAY FROM | $41,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $37,810.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | 2025-01-20 |
