| LCA CASE NUMBER | I-200-20087-442208 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-03-27 |
| DECISION DATE | 2021-09-15 |
| ORIGINAL CERT DATE | 2020-04-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | QUALITY ASSURANCE ENGINEER |
| SOC CODE | 19-1012.00 |
| SOC TITLE | Food Scientists and Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-09-26 |
| END DATE | 2023-09-25 |
| 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 | REVIVE BRANDS |
| TRADE NAME DBA | REVIVE KOMBUCHA |
| EMPLOYER ADDRESS1 | 3900 CYPRESS DRIVE |
| EMPLOYER CITY | PETALUMA |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94954 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17075361193 |
| NAICS CODE | 446191 |
| EMPLOYER POC LAST NAME | LOVETT |
| EMPLOYER POC FIRST NAME | REBEKAH |
| EMPLOYER POC JOB TITLE | DIRECTOR OF COMPLIANCE |
| EMPLOYER POC ADDRESS1 | 3900 CYPRESS DRIVE |
| EMPLOYER POC CITY | PETALUMA |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94954 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12243924070 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Evans |
| AGENT ATTORNEY FIRST NAME | Jeptha |
| AGENT ATTORNEY ADDRESS1 | 505 Sansome Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1200 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14154325300 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | MCCOWN & EVANS LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3900 CYPRESS DRIVE |
| LCA CASE WORKLOC1 CITY | PETALUMA |
| WORKSITE COUNTY | SONOMA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94954 |
| LCA CASE WAGE RATE FROM | 67371 |
| LCA CASE WAGE RATE TO | 77771 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 67371 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | EVANS |
| PREPARER FIRST NAME | JEPTHA |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | MCCOWN & EVANS LLP |
| PREPARER EMAIL | [email protected] |
