| LCA CASE NUMBER | I-200-20219-755996 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-06 |
| DECISION DATE | 2020-08-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Inclusion Support Specialist |
| SOC CODE | 25-2051.00 |
| SOC TITLE | Special Education Teachers, Preschool |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-29 |
| END DATE | 2023-08-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Columbia Baptist Church |
| EMPLOYER ADDRESS1 | 103 West Columbia Street |
| EMPLOYER CITY | Falls Church |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22046 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17035345700 |
| NAICS CODE | 813110 |
| EMPLOYER POC LAST NAME | Groover |
| EMPLOYER POC FIRST NAME | Donna |
| EMPLOYER POC JOB TITLE | Director, HR & Finance |
| EMPLOYER POC ADDRESS1 | 103 West Columbia Street |
| EMPLOYER POC CITY | Falls Church |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22046 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17035345700 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Stevens |
| AGENT ATTORNEY FIRST NAME | Mark |
| AGENT ATTORNEY ADDRESS1 | 4103 Chain Bridge Road |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Fairfax |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22030 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17033522399.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Murray Osorio PLLC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 103 West Columbia Street |
| LCA CASE WORKLOC1 CITY | Falls Church |
| WORKSITE COUNTY | FALLS CHURCH CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22046 |
| LCA CASE WAGE RATE FROM | 32.62 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 32.62 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Stevens |
| PREPARER FIRST NAME | Mark |
| PREPARER BUSINESS NAME | Murray Osorio PLLC |
| PREPARER EMAIL | [email protected] |
