| LCA CASE NUMBER | I-200-21067-128000 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-08 |
| DECISION DATE | 2021-03-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Restaurant Manager |
| SOC CODE | 11-9081.00 |
| SOC TITLE | Lodging Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-29 |
| END DATE | 2024-08-28 |
| 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 | SV Club Owner, LLC |
| TRADE NAME DBA | San Vicente Bungalows |
| EMPLOYER ADDRESS1 | 845 N San Vicente Blvd |
| EMPLOYER CITY | West Hollywood |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90069 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18189630394 |
| NAICS CODE | 721110 |
| EMPLOYER POC LAST NAME | Palmer |
| EMPLOYER POC FIRST NAME | Benjamin |
| EMPLOYER POC JOB TITLE | General Manager |
| EMPLOYER POC ADDRESS 1 | 845 N San Vicente Blvd |
| EMPLOYER POC CITY | West Hollywood |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90069 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18189630394 |
| EMPLOYER POC EMAIL | bpalmer@sanvicentebungalows.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fullmer |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Reid |
| AGENT ATTORNEY ADDRESS1 | 1416 2nd Street |
| AGENT ATTORNEY CITY | Santa Monica |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13105704088 |
| AGENT ATTORNEY EMAIL ADDRESS | dfullmer@wolfsdorf.com |
| LAWFIRM NAME BUSINESS NAME | Wolfsdorf Rosenthal LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 845 N San Vicente Blvd |
| LCA CASE WORKLOC1 CITY | West Hollywood |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90069 |
| LCA CASE WAGE RATE FROM | 65000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 52707 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Quezada |
| PREPARER FIRST NAME | Ashlee |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Wolfsdorf Rosenthal LLP |
| PREPARER EMAIL | aquezada@wolfsdorf.com |
