| LCA CASE NUMBER | I-200-22262-481281 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-09-19 |
| DECISION DATE | 2022-09-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Developer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-27 |
| END DATE | 2025-09-26 |
| 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 | Coborn's, Inc. |
| EMPLOYER ADDRESS1 | 1921 Coborn Blvd |
| EMPLOYER CITY | St. Cloud |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13202524222 |
| NAICS CODE | 4451 |
| EMPLOYER POC LAST NAME | Shaw |
| EMPLOYER POC FIRST NAME | James |
| EMPLOYER POC JOB TITLE | Executive Vice President & CFO |
| EMPLOYER POC ADDRESS1 | 1921 Coborn Blvd |
| EMPLOYER POC CITY | St. Cloud |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 56301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13202524222 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Guzman |
| AGENT ATTORNEY FIRST NAME | Agnna |
| AGENT ATTORNEY MIDDLE NAME | Varinia |
| AGENT ATTORNEY ADDRESS1 | 2000 S Colorado Blvd. TWR 3 |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13032281272 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1921 Coborn Blvd |
| LCA CASE WORKLOC1 CITY | St. Cloud |
| WORKSITE COUNTY | STEARNS |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56301 |
| LCA CASE WAGE RATE FROM | 95326 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 82264 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Gigliotti |
| PREPARER FIRST NAME | Mary |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | [email protected] |
