| LCA CASE NUMBER | I-200-19295-102204 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-22 |
| DECISION DATE | 2019-10-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HEAD BAKER |
| SOC CODE | 51-3011.00 |
| SOC TITLE | Bakers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-11 |
| END DATE | 2022-11-10 |
| 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 | VELSAN, INC. |
| TRADE NAME DBA | LA IMPERIAL BAKERY |
| EMPLOYER ADDRESS1 | 830 E MAIN ST |
| EMPLOYER CITY | LAKELAND |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +18635004422 |
| NAICS CODE | 311812 |
| EMPLOYER POC LAST NAME | VELAZQUEZ |
| EMPLOYER POC FIRST NAME | ENRIQUE |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 830 E MAIN ST |
| EMPLOYER POC CITY | LAKELAND |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +18632581854 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 830 E MAIN ST |
| LCA CASE WORKLOC1 CITY | LAKELAND |
| WORKSITE COUNTY | POLK |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33801 |
| LCA CASE WAGE RATE FROM | 30222.0 |
| LCA CASE WAGE RATE TO | 35000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 30222.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | SANTIAGO |
| PREPARER FIRST NAME | CARMEN |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | VELSAN, INC. |
| PREPARER EMAIL | [email protected] |
