| LCA CASE NUMBER | I-200-21053-092004 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-22 |
| DECISION DATE | 2021-03-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Math Teacher |
| SOC CODE | 25-2031.00 |
| SOC TITLE | Secondary School Teachers, Except Special and Career/Technical Education |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-31 |
| END DATE | 2024-03-30 |
| 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 | Mitchell County Board of Education |
| EMPLOYER ADDRESS1 | 108 South Harney Street |
| EMPLOYER CITY | Camilla |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31730 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12293217002 |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | White |
| EMPLOYER POC FIRST NAME | Jacquelyn |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | Assistant Superintendent of Operations and Services |
| EMPLOYER POC ADDRESS 1 | 108 South Harney Street |
| EMPLOYER POC CITY | Camilla |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31730 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12293217002 |
| EMPLOYER POC EMAIL | jacquelyn_white@mitchell.k12.ga.us |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Michailov |
| AGENT ATTORNEY FIRST NAME | Dimitar |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 4350 East-West Highway |
| AGENT ATTORNEY ADDRESS2 | Ste 502 |
| AGENT ATTORNEY CITY | Bethesda |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20814 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18888784721 |
| AGENT ATTORNEY EMAIL ADDRESS | dimo.michailov@cilawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Capitol Immigration Law Group PLLC |
|
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1000 Newton Road |
| LCA CASE WORKLOC1 CITY | Camilla |
| WORKSITE COUNTY | MITCHELL |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31730 |
| LCA CASE WAGE RATE FROM | 63306 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 62760 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Michailov |
| PREPARER FIRST NAME | Dimitar |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Capitol Immigration Law Group PLLC |
| PREPARER EMAIL | dimo.michailov@cilawgroup.com |
