| LCA CASE NUMBER | I-200-19352-203541 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-18 |
| DECISION DATE | 2019-12-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Database Administrator |
| SOC CODE | 15-1141.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-24 |
| END DATE | 2020-12-23 |
| 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 | Fleet Farm Wholesale Supply Co LLC |
| TRADE NAME DBA | Fleet Farm |
| EMPLOYER ADDRESS1 | 1300 S. Lynndale Drive |
| EMPLOYER CITY | Appleton |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54914 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +19209978350 |
| NAICS CODE | 45231 |
| EMPLOYER POC LAST NAME | Habert |
| EMPLOYER POC FIRST NAME | Wayne |
| EMPLOYER POC JOB TITLE | Vice President of Information Technology |
| EMPLOYER POC ADDRESS1 | 1300 S. Lynndale Drive |
| EMPLOYER POC CITY | Appleton |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54914 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +19207318121 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Lo |
| AGENT ATTORNEY FIRST NAME | Tzu-Kai |
| AGENT ATTORNEY ADDRESS1 | 333 W Wacker Drive |
| AGENT ATTORNEY ADDRESS2 | 15th Floor |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13122636101.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen Del Rey Bernsen & Loewy LLC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2401 S. Memorial Drive |
| LCA CASE WORKLOC1 CITY | Appleton |
| WORKSITE COUNTY | WINNEBAGO |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54915 |
| LCA CASE WAGE RATE FROM | 106365.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 78520.0 |
| 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 |
