| LCA CASE NUMBER | I-200-22055-928620 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-02-24 |
| DECISION DATE | 2022-03-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MIDDLE SCHOOL SCIENCE AND MATH 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 | 2022-06-24 |
| END DATE | 2025-06-23 |
| 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 BAPTIST CHURCH OF PLANTATION, FLORIDA, INC |
| TRADE NAME DBA | TRINITAS ACADEMY |
| EMPLOYER ADDRESS1 | 1101 SW 49TH AVENUE |
| EMPLOYER CITY | PLANTATION |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33317 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19545812744 |
| NAICS CODE | 813110 |
| EMPLOYER POC LAST NAME | DEL PINO |
| EMPLOYER POC FIRST NAME | JORGE |
| EMPLOYER POC JOB TITLE | SUPERINTENDENT |
| EMPLOYER POC ADDRESS1 | 1101 SW 49TH AVENUE |
| EMPLOYER POC CITY | PLANTATION |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33317 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19545812744 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SANDOVAL |
| AGENT ATTORNEY FIRST NAME | CARLOS |
| AGENT ATTORNEY MIDDLE NAME | ENRIQUE |
| AGENT ATTORNEY ADDRESS1 | 6600 TAFT STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 307 |
| AGENT ATTORNEY CITY | HOLLYWOOD |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33024 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19543066921 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | CARLOS E. SANDOVAL, P.A. |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF FLORIDA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1101 SW 49th AVENUE |
| LCA CASE WORKLOC1 CITY | PLANTATION |
| WORKSITE COUNTY | BROWARD |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33317 |
| LCA CASE WAGE RATE FROM | 44320 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 44320 |
| 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 | SANDOVAL |
| PREPARER FIRST NAME | CARLOS |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Carlos E. Sandoval, P.A. |
| PREPARER EMAIL | [email protected] |
