| CASE NUMBER | I-200-24332-503198 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/26/2024 |
| DECISION DATE | 12/4/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | ADJUNCT INSTRUCTOR |
| SOC CODE | 25-1081.00 |
| SOC TITLE | Education Teachers, Postsecondary |
| FULL TIME POSITION | N |
| BEGIN DATE | 1/6/2025 |
| END DATE | 1/5/2028 |
| 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 | PACIFIC STATES UNIVERSITY |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3424 WILSHIRE BLVD. |
| EMPLOYER ADDRESS2 | 12TH FLOOR |
| EMPLOYER CITY | LOS ANGELES |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13237312383 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | KIM |
| EMPLOYER POC FIRST NAME | YOUNGOH |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | DIRECTOR OF ADMINISTRATIVE OPERATIONS |
| EMPLOYER POC ADDRESS1 | 3424 WILSHIRE BLVD. |
| EMPLOYER POC ADDRESS2 | 12TH FLOOR |
| EMPLOYER POC CITY | LOS ANGELES |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13237312383 |
| EMPLOYER POC PHONE EXT | 202 |
| EMPLOYER POC EMAIL | young@psuca.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | KAWAHARA |
| AGENT ATTORNEY FIRST NAME | GLENN |
| AGENT ATTORNEY MIDDLE NAME | N |
| AGENT ATTORNEY ADDRESS1 | 1055 WILSHIRE BLVD. |
| AGENT ATTORNEY ADDRESS2 | SUITE 1890 |
| AGENT ATTORNEY CITY | LOS ANGELES |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12132501340 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | gkawa@sbcglobal.net |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF GLENN N. KAWAHARA |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CALIFORNIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3424 WILSHIRE BLVD. |
| WORKSITE ADDRESS2 | 12TH FLOOR |
| WORKSITE CITY | LOS ANGELES |
| WORKSITE COUNTY | LOS ANGELES |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 90010 |
| WAGE RATE OF PAY FROM | $26.50 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $27.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $26.27 |
| PW UNIT OF PAY | Hour |
| 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 | KAWAHARA |
| PREPARER FIRST NAME | GLENN |
| PREPARER MIDDLE INITIAL | N |
| PREPARER BUSINESS NAME | LAW OFFICE OF GLENN N. KAWAHARA |
| PREPARER EMAIL | gkawa@sbcglobal.net |
| BEGIN DATE CONVERTED | 2025-01-06 |
