| LCA CASE NUMBER | I-200-21263-594907 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-20 |
| DECISION DATE | 2021-09-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Upper Elementary Special Educator |
| SOC CODE | 25-2052.00 |
| SOC TITLE | Special Education Teachers, Kindergarten and Elementary School |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Rhode Island Mayoral Academy, Blackstone Valley Prep |
| EMPLOYER ADDRESS1 | 7 Fatima Drive |
| EMPLOYER CITY | Cumberland |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 2864 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14018717113 |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | DeMatteo |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | Chief Operations Officer |
| EMPLOYER POC ADDRESS1 | 7 Fatima Drive |
| EMPLOYER POC CITY | Cumberland |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 2864 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14018717113 |
| EMPLOYER POC EMAIL | mdematteo@blackstonevalleyprep.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Quill |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | F |
| AGENT ATTORNEY ADDRESS1 | One Financial Center |
| AGENT ATTORNEY ADDRESS2 | 41st Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16173484401 |
| AGENT ATTORNEY EMAIL ADDRESS | jfquill@mintz.com |
| LAWFIRM NAME BUSINESS NAME | Mintz |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3 Fairlawn Way |
| LCA CASE WORKLOC1 CITY | Lincoln |
| WORKSITE COUNTY | LINCOLN |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 2865 |
| LCA CASE WAGE RATE FROM | 54346 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 52280 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bradley |
| PREPARER FIRST NAME | Mary-Jo |
| PREPARER BUSINESS NAME | Mintz Levin Cohn Ferris Glovsky & Popeo PC |
| PREPARER EMAIL | mbradley@mintz.com |
