| LCA CASE NUMBER | I-200-21026-033150 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-26 |
| DECISION DATE | 2021-02-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Director-Employee Relations |
| SOC CODE | 11-3131.00 |
| SOC TITLE | Training and Development Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-08 |
| END DATE | 2024-03-07 |
| 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 | Domino's Pizza, LLC |
| EMPLOYER ADDRESS1 | 30 Frank Lloyd Wright Drive |
| EMPLOYER CITY | Ann Arbor |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17349303841 |
| NAICS CODE | 722511 |
| EMPLOYER POC LAST NAME | Jackson |
| EMPLOYER POC FIRST NAME | Sam |
| EMPLOYER POC JOB TITLE | VP Human Resources |
| EMPLOYER POC ADDRESS 1 | 30 Frank Lloyd Wright Drive |
| EMPLOYER POC CITY | Ann Arbor |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17349303841 |
| EMPLOYER POC EMAIL | sam.jackson@dominos.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Shane |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 500 West Cypress Creek Rd. |
| AGENT ATTORNEY ADDRESS2 | Suite 470 |
| AGENT ATTORNEY CITY | Fort Lauderdale |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19547728782 |
| AGENT ATTORNEY EMAIL ADDRESS | mshane@shanelaw.com |
| LAWFIRM NAME BUSINESS NAME | SHANE AND SHANE, P.A. |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 30 Frank Lloyd Wright Drive |
| LCA CASE WORKLOC1 CITY | Ann Arbor |
| WORKSITE COUNTY | WASHTENAW |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48105 |
| LCA CASE WAGE RATE FROM | 174250 |
| LCA CASE WAGE RATE TO | 174251 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 133494 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Shane |
| PREPARER FIRST NAME | Michael |
| PREPARER BUSINESS NAME | Shane and Shane, P.A. |
| PREPARER EMAIL | mshane@shanelaw.com |
