| LCA CASE NUMBER | I-200-22074-979384 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-15 |
| DECISION DATE | 2022-03-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MUSIC TEACHER |
| SOC CODE | 25-2021.00 |
| SOC TITLE | Elementary School Teachers, Except Special Education |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-09 |
| END DATE | 2025-09-08 |
| 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 | COLQUITT COUNTY BOARD OF EDUCATION |
| EMPLOYER ADDRESS1 | P.O.BOX 2708 |
| EMPLOYER CITY | MOULTRIE |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31776 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12298906230 |
| NAICS CODE | 6111 |
| EMPLOYER POC LAST NAME | HARRELL |
| EMPLOYER POC FIRST NAME | JAMES |
| EMPLOYER POC JOB TITLE | ASSISTANT SUPRINTENDENT OF HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | P.O. BOX 2708 |
| EMPLOYER POC CITY | MOULTRIE |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31776 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12298906230 |
| EMPLOYER POC EMAIL | JAMES.HARRELL@COLQUITT.K12.GA.US |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SMITH |
| AGENT ATTORNEY FIRST NAME | KEMBRA |
| AGENT ATTORNEY MIDDLE NAME | LOUISE |
| AGENT ATTORNEY ADDRESS1 | 3094 MERCER UNIVERSITY DRIVE |
| AGENT ATTORNEY ADDRESS2 | SUITE 100 |
| AGENT ATTORNEY CITY | ATLANTA |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30341 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17709869410 |
| AGENT ATTORNEY EMAIL ADDRESS | KEMBRA@KEMBRALSMITH.COM |
| LAWFIRM NAME BUSINESS NAME | KEMBRA L SMITH LLC |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | GEROGIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | COX ELEMENTARY SCHOOL |
| WORKSITE ADDRESS2 | 1275 11TH AVENUE SE |
| LCA CASE WORKLOC1 CITY | MOULTRIE |
| WORKSITE COUNTY | COLQUITT |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31768 |
| LCA CASE WAGE RATE FROM | 39674.9 |
| LCA CASE WAGE RATE TO | 39675.9 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 34870 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | SMITH |
| PREPARER FIRST NAME | KEMBRA |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | KEMBRA L SMITH LLC |
| PREPARER EMAIL | KEMBRA@KEMBRALSMITH.COM |
