| LCA CASE NUMBER | I-200-21193-456884 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-12 |
| DECISION DATE | 2021-07-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Special Education Teacher |
| SOC CODE | 25-2059.00 |
| SOC TITLE | Special Education Teachers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2022-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Bellbrook-Sugarcreek Local Schools |
| EMPLOYER ADDRESS1 | 3757 Upper Bellbrook Road |
| EMPLOYER CITY | Bellbrook |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45305 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19378485001 |
| NAICS CODE | 92112 |
| EMPLOYER POC LAST NAME | Cozad |
| EMPLOYER POC FIRST NAME | Douglas |
| EMPLOYER POC MIDDLE NAME | Allen |
| EMPLOYER POC JOB TITLE | Superintendent |
| EMPLOYER POC ADDRESS1 | 3757 Upper Bellbrook Rd. |
| EMPLOYER POC CITY | Bellbrook |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45305 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19378485001 |
| EMPLOYER POC EMAIL | doug.cozad@bss.k12.oh.us |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Justice |
| AGENT ATTORNEY FIRST NAME | Tabitha |
| AGENT ATTORNEY MIDDLE NAME | Dee |
| AGENT ATTORNEY ADDRESS1 | 50 Chestnut St. |
| AGENT ATTORNEY ADDRESS2 | Suite 230 |
| AGENT ATTORNEY CITY | Dayton |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45440 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19374278800 |
| AGENT ATTORNEY EMAIL ADDRESS | tjustice@swjohiolaw.com |
| LAWFIRM NAME BUSINESS NAME | Subashi, Wildermuth & Justice |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Ohio Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3757 Upper Bellbrook Rd. |
| LCA CASE WORKLOC1 CITY | Bellbrook |
| WORKSITE COUNTY | GREENE |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45305 |
| LCA CASE WAGE RATE FROM | 44472 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 44472 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
