| LCA CASE NUMBER | I-200-22221-406453 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-09 |
| DECISION DATE | 2022-08-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Fashion Designer |
| SOC CODE | 27-1022.00 |
| SOC TITLE | Fashion Designers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Mystic, Inc. |
| TRADE NAME DBA | Herman Kay |
| EMPLOYER ADDRESS1 | 463 7TH AVE. |
| EMPLOYER ADDRESS2 | 12TH FL. |
| EMPLOYER CITY | NEW YORK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10018 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12122392025 |
| NAICS CODE | 424320 |
| EMPLOYER POC LAST NAME | EICHEL |
| EMPLOYER POC FIRST NAME | BEVERLY |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 463 7TH AVE. |
| EMPLOYER POC ADDRESS2 | 12TH FL. |
| EMPLOYER POC CITY | NEW YORK |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10018 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12122392025 |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SONG |
| AGENT ATTORNEY FIRST NAME | Ashley |
| AGENT ATTORNEY MIDDLE NAME | Juyeon |
| AGENT ATTORNEY ADDRESS1 | 16 West 32nd Street |
| AGENT ATTORNEY ADDRESS2 | Suite 607 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128682200 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Kim, Song & Associates, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 463 7TH AVE. |
| WORKSITE ADDRESS2 | 12TH FL. |
| LCA CASE WORKLOC1 CITY | NEW YORK |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10018 |
| LCA CASE WAGE RATE FROM | 66000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 53227 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
