| LCA CASE NUMBER | I-200-23149-060279 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-29 |
| DECISION DATE | 2023-06-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Minister |
| SOC CODE | 21-2011.00 |
| SOC TITLE | Clergy |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | American Reformed Church at Nooksack Valley |
| EMPLOYER ADDRESS1 | 700 Sumas Ave. |
| EMPLOYER CITY | Sumas |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98295 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13608206318 |
| NAICS CODE | 813110 |
| EMPLOYER POC LAST NAME | Chase |
| EMPLOYER POC FIRST NAME | Stephen |
| EMPLOYER POC MIDDLE NAME | Howard |
| EMPLOYER POC JOB TITLE | Secretary |
| EMPLOYER POC ADDRESS1 | 516 Mission Rd. |
| EMPLOYER POC CITY | Everson |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98247 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13604838065 |
| EMPLOYER POC EMAIL | schasecredo@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jacobs |
| AGENT ATTORNEY FIRST NAME | Richard |
| AGENT ATTORNEY ADDRESS1 | 13380 N Madison Ave NE |
| AGENT ATTORNEY CITY | Bainbridge Island |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12067801114 |
| AGENT ATTORNEY EMAIL ADDRESS | rjacobs@fastmail.com |
| LAWFIRM NAME BUSINESS NAME | Richard Jacobs, P.C. |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 700 Sumas Ave |
| LCA CASE WORKLOC1 CITY | Sumas |
| WORKSITE COUNTY | WHATCOM |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98295 |
| LCA CASE WAGE RATE FROM | 62500 |
| LCA CASE WAGE RATE TO | 62501 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 59093 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Jacobs |
| PREPARER FIRST NAME | Richard |
| PREPARER BUSINESS NAME | Richard Jacobs, P.C. |
| PREPARER EMAIL | rjacobs@fastmail.com |
