| LCA CASE NUMBER | I-200-21217-505319 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-05 |
| DECISION DATE | 2021-08-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ELL Teacher |
| SOC CODE | 25-2031.00 |
| SOC TITLE | Secondary School Teachers, Except Special and Career/Technical Education |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-08-15 |
| 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 | Medford Area Public School District |
| EMPLOYER ADDRESS1 | 124 West State Street |
| EMPLOYER CITY | Medford |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54451 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17157484620 |
| EMPLOYER PHONE EXT | 523 |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Sullivan |
| EMPLOYER POC FIRST NAME | Pat |
| EMPLOYER POC JOB TITLE | District Administrator |
| EMPLOYER POC ADDRESS1 | 124 West State Street |
| EMPLOYER POC CITY | Medford |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54451 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17157484620 |
| EMPLOYER POC PHONE EXT | 523 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lacy |
| AGENT ATTORNEY FIRST NAME | Callie |
| AGENT ATTORNEY MIDDLE NAME | Kidder |
| AGENT ATTORNEY ADDRESS1 | 205 Doty St. |
| AGENT ATTORNEY ADDRESS2 | Ste. 201 |
| AGENT ATTORNEY CITY | Green Bay |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 54301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18448330831 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Strang, Patteson, Renning, Lewis & Lacy |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1015 West Broadway |
| LCA CASE WORKLOC1 CITY | Medford |
| WORKSITE COUNTY | TAYLOR |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54451 |
| LCA CASE WAGE RATE FROM | 43810 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 43810 |
| 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 |
