| LCA CASE NUMBER | I-200-19329-165085 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-25 |
| DECISION DATE | 2019-12-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family and Consumer Science Teacher |
| SOC CODE | 25-2031.00 |
| SOC TITLE | Secondary School Teachers, Except Special and Career/Technical Education |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-26 |
| END DATE | 2023-05-25 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Winston-Salem/Forsyth County Schools |
| EMPLOYER ADDRESS1 | 475 Corporate Square Drive |
| EMPLOYER CITY | Winston-Salem |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +13367272509 |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Jenkins |
| EMPLOYER POC FIRST NAME | Dionne |
| EMPLOYER POC JOB TITLE | General Counsel |
| EMPLOYER POC ADDRESS1 | 475 Corporate Square Drive |
| EMPLOYER POC CITY | Winston-Salem |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +13367272509 |
| EMPLOYER POC EMAIL | dtjenkins@wsfcs.k12.nc.us |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Sivaraman |
| AGENT ATTORNEY FIRST NAME | Heather |
| AGENT ATTORNEY ADDRESS1 | PO Box 1317 |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19196192119.0 |
| AGENT ATTORNEY EMAIL ADDRESS | heather@sivisalaw.com |
| LAWFIRM NAME BUSINESS NAME | Sivaraman Immigration Law |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 342 Petree Rd |
| LCA CASE WORKLOC1 CITY | Winston-Salem |
| WORKSITE COUNTY | FORSYTH |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27106 |
| LCA CASE WAGE RATE FROM | 53380.0 |
| LCA CASE WAGE RATE TO | 54999.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 53380.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sivaraman |
| PREPARER FIRST NAME | Heather |
| PREPARER BUSINESS NAME | Sivaraman Immigration Law |
| PREPARER EMAIL | heather@sivisalaw.com |
