| CASE NUMBER | I-200-24321-479756 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/16/2024 |
| DECISION DATE | 11/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Minister |
| SOC CODE | 21-2011.00 |
| SOC TITLE | Clergy |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/10/2025 |
| END DATE | 1/9/2028 |
| 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 | Washington Conference of Seventh-day Adventists |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 32229 Weyerhaeuser Way S |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Federal Way |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98001 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12536816008 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 813110 |
| EMPLOYER POC LAST NAME | AIOLUPOTEA |
| EMPLOYER POC FIRST NAME | ABISHAI |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | DIRECTOR OF HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | 32229 Weyerhaeuser Way S |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Federal Way |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98001 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12536816008 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | abishai.aiolupotea@wc.npuc.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Wang |
| AGENT ATTORNEY FIRST NAME | Andre |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | PO Box 16531 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97292-0531 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15038079125 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | andre@andrewang.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Andre M Wang |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | OREGON SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 5010 Auburn Way S |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Auburn |
| WORKSITE COUNTY | KING |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98092 |
| WAGE RATE OF PAY FROM | $5,100.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $7,500.00 |
| WAGE UNIT OF PAY | Month |
| PREVAILING WAGE | $3,932.93 |
| PW UNIT OF PAY | Month |
| 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 | Wang |
| PREPARER FIRST NAME | Andre |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Law Office of Andre M Wang |
| PREPARER EMAIL | andre.wang@nw.npuc.org |
| BEGIN DATE CONVERTED | 2025-01-10 |
