| LCA CASE NUMBER | I-200-23296-450700 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-10-23 |
| DECISION DATE | 2023-10-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Middle School Science Teacher |
| SOC CODE | 25-2022.00 |
| SOC TITLE | Middle School Teachers, Except Special and Career/Technical Education |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-11-01 |
| END DATE | 2026-10-30 |
| 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 | The Carter G Woodson School Inc |
| EMPLOYER ADDRESS1 | 437 Goldfloss Street |
| EMPLOYER CITY | Winston Salem |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27127 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13366237838 |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Gullick |
| EMPLOYER POC FIRST NAME | Terri |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 437 Goldfloss Street |
| EMPLOYER POC CITY | Winston-Salem |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27127 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14753378406 |
| EMPLOYER POC EMAIL | terrigullick@cartergwoodsonschool.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Daniels |
| AGENT ATTORNEY FIRST NAME | Tanicia |
| AGENT ATTORNEY MIDDLE NAME | Shanell |
| AGENT ATTORNEY ADDRESS1 | 1225 Franklin Ave |
| AGENT ATTORNEY CITY | Garden City |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11530 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15165362680 |
| AGENT ATTORNEY EMAIL ADDRESS | mclarke4@optonline.net |
| LAWFIRM NAME BUSINESS NAME | Clarke & Associates |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 437 Goldfloss Street |
| LCA CASE WORKLOC1 CITY | Winston- Salem |
| WORKSITE COUNTY | FORSYTH |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27127 |
| LCA CASE WAGE RATE FROM | 49499 |
| LCA CASE WAGE RATE TO | 49500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 41030 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Daniels |
| PREPARER FIRST NAME | Tanicia |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Clarke & Associates |
| PREPARER EMAIL | mclarke4@optonline.net |