| CASE NUMBER | I-200-24285-401466 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/11/2024 |
| DECISION DATE | 10/21/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Math Teacher |
| SOC CODE | 25-2031.00 |
| SOC TITLE | Secondary School Teachers, Except Special and Career/Technical Education |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2025 |
| END DATE | 12/31/2027 |
| 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 | Charlotte Islamic Academy, Inc. |
| TRADE NAME DBA | Charlotte Islamic Academy |
| EMPLOYER ADDRESS1 | 5500 N. Tryon Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Charlotte |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28213 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17049000255 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Obeid |
| EMPLOYER POC FIRST NAME | Chanki |
| EMPLOYER POC MIDDLE NAME | Hicham |
| EMPLOYER POC JOB TITLE | Imam/ Religious School Principal |
| EMPLOYER POC ADDRESS1 | 5500 N. Tryon Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Charlotte |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28213 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17044511603 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | board@ciacademy.us |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Elsayed |
| AGENT ATTORNEY FIRST NAME | Amro |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1540 Westbrook Plaza Drive |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Winston Salem |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13367760363 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | amro@elsayedlawoffice.com |
| LAWFIRM NAME BUSINESS NAME | The Law Office of Amro Elsayed, PLLC |
| 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 | 5500 N. Tryon Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Charlotte |
| WORKSITE COUNTY | MECKLENBURG |
| WORKSITE STATE | NC |
| WORKSITE POSTAL CODE | 28213 |
| WAGE RATE OF PAY FROM | $48,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $56,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $46,110.00 |
| 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 and Employment |
| PREPARER LAST NAME | Elsayed |
| PREPARER FIRST NAME | Amro |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | The Law Office of Amro Elsayed, PLLC |
| PREPARER EMAIL | amro@elsayedlawoffice.com |
| BEGIN DATE CONVERTED | 2025-01-01 |
