| LCA CASE NUMBER | I-200-21082-165997 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-22 |
| DECISION DATE | 2021-03-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | 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 | 2021-07-01 |
| END DATE | 2022-06-30 |
| 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 | Hawaii Conference of SDA |
| EMPLOYER ADDRESS1 | 2728 Pali Highway |
| EMPLOYER CITY | Honolulu |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96817 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18085957591 |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Nelson |
| EMPLOYER POC FIRST NAME | Rhonda |
| EMPLOYER POC JOB TITLE | Superintendent of Education |
| EMPLOYER POC ADDRESS 1 | 2728 Pali Highway |
| EMPLOYER POC CITY | Honolulu |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96817 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18005957591 |
| EMPLOYER POC EMAIL | mnelson@hawaiisda.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Valencia |
| AGENT ATTORNEY FIRST NAME | Mark |
| AGENT ATTORNEY MIDDLE NAME | Garrett |
| AGENT ATTORNEY ADDRESS1 | 737 Bishop Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2600 |
| AGENT ATTORNEY CITY | Honolulu |
| AGENT ATTORNEY STATE | HI |
| AGENT ATTORNEY POSTAL CODE | 96813 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18085475400 |
| AGENT ATTORNEY PHONE EXT | 497 |
| AGENT ATTORNEY EMAIL ADDRESS | mvalencia@caselombardi.com |
| LAWFIRM NAME BUSINESS NAME | Case Lombardi and Pettit |
| STATE OF HIGHEST COURT | HI |
| NAME OF HIGHEST STATE COURT | Hawaii Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1438 Pensacola Street |
| LCA CASE WORKLOC1 CITY | Honolulu |
| WORKSITE COUNTY | HONOLULU |
| LCA CASE WORKLOC1 STATE | HI |
| WORKSITE POSTAL CODE | 96822 |
| LCA CASE WAGE RATE FROM | 57744 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 21.96 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 Employment |
| PREPARER LAST NAME | Valencia |
| PREPARER FIRST NAME | Mark |
| PREPARER MIDDLE INITIAL | G. |
| PREPARER BUSINESS NAME | Case Lombardi & Pettit |
| PREPARER EMAIL | pkj@caselombardi.com |
