| LCA CASE NUMBER | I-200-20220-757297 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-07 |
| DECISION DATE | 2020-08-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Accountant |
| SOC CODE | 13-2011.01 |
| SOC TITLE | Accountants |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-24 |
| END DATE | 2023-08-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Grocery Outlet Inc |
| TRADE NAME DBA | Grocery Outlet Inc |
| EMPLOYER ADDRESS1 | 5650 Hollis Street |
| EMPLOYER CITY | Emeryville |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94608 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15108451999 |
| NAICS CODE | 445110 |
| EMPLOYER POC LAST NAME | Hague |
| EMPLOYER POC FIRST NAME | Karen |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS1 | 5650 Hollis Street |
| EMPLOYER POC CITY | Emeryville |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94608 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15108451999 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Brollesy |
| AGENT ATTORNEY FIRST NAME | Hany |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 123 North Union Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 305 |
| AGENT ATTORNEY CITY | Cranford |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 07016 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19087090500.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Lubiner Schmidt & Palumbo LLC |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 5650 Hollis Street |
| LCA CASE WORKLOC1 CITY | Emeryville |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94608 |
| LCA CASE WAGE RATE FROM | 40.0 |
| LCA CASE WAGE RATE TO | 50.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 36.79 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Brollesy |
| PREPARER FIRST NAME | Hany |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Lubiner Schmidt & Palumbo LLC |
| PREPARER EMAIL | [email protected] |
