| LCA CASE NUMBER | I-200-22054-924230 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-02-23 |
| DECISION DATE | 2022-03-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Middle School 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 | 2022-08-15 |
| END DATE | 2025-08-14 |
| 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 Potter's House |
| EMPLOYER ADDRESS1 | 810 VanRaalte Drive SW |
| EMPLOYER CITY | Grand Rapids |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49509 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16162415202 |
| NAICS CODE | 611110 |
| EMPLOYER POC LAST NAME | Booy |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC MIDDLE NAME | D. |
| EMPLOYER POC JOB TITLE | Superintendent |
| EMPLOYER POC ADDRESS1 | 810 VanRaalte Drive SW |
| EMPLOYER POC CITY | Grand Rapids |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49509 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16162415720 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Koryto |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY ADDRESS1 | 100 West Michigan Avenu |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Kalamazoo |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49007 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12692262979 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Miller Johnson |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 810 VanRaalte Drive SW |
| LCA CASE WORKLOC1 CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49509 |
| LCA CASE WAGE RATE FROM | 41890 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 41890 |
| 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 |
| PREPARER LAST NAME | Koryto |
| PREPARER FIRST NAME | John |
| PREPARER MIDDLE INITIAL | F |
| PREPARER BUSINESS NAME | Miller Johnson |
| PREPARER EMAIL | [email protected] |
