| LCA CASE NUMBER | I-200-20133-564155 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-12 |
| DECISION DATE | 2020-05-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Coach |
| SOC CODE | 27-2022.00 |
| SOC TITLE | Coaches and Scouts |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-10-01 |
| 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 | PROVIDENCE CHRISTIAN MINISTRIES, INC. |
| TRADE NAME DBA | PROVIDENCE CLASSICAL CHRISTIAN ACADEMY |
| EMPLOYER ADDRESS1 | PO Box 173 |
| EMPLOYER CITY | Lowell |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72745 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14792638861 |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | PO Box 173 |
| EMPLOYER POC CITY | Lowell |
| EMPLOYER POC STATE | AR |
| EMPLOYER POC POSTAL CODE | 72745 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14792638861 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Naylor |
| AGENT ATTORNEY FIRST NAME | Zoe |
| AGENT ATTORNEY MIDDLE NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | PO Box 11003 |
| AGENT ATTORNEY CITY | Fayetteville |
| AGENT ATTORNEY STATE | AR |
| AGENT ATTORNEY POSTAL CODE | 72703 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14799579819.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Bogart, Small + Naylor |
| STATE OF HIGHEST COURT | AR |
| NAME OF HIGHEST STATE COURT | Supreme Court of Arkansas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2555 S. 26th Street |
| LCA CASE WORKLOC1 CITY | Rogers |
| WORKSITE COUNTY | BENTON |
| LCA CASE WORKLOC1 STATE | AR |
| WORKSITE POSTAL CODE | 72758 |
| LCA CASE WAGE RATE FROM | 30000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 22560.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
