| LCA CASE NUMBER | I-200-20162-642363 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-10 |
| DECISION DATE | 2020-06-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | VICE PRESIDENT - PROCUREMENT & SUPPLY CHAIN |
| SOC CODE | 11-9199.04 |
| SOC TITLE | Supply Chain Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | 123STORES, INC. |
| EMPLOYER ADDRESS1 | 4138 37TH STREET |
| EMPLOYER CITY | LONG ISLAND CITY |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16465767555 |
| NAICS CODE | 454110 |
| EMPLOYER POC LAST NAME | Marmol |
| EMPLOYER POC FIRST NAME | Eddie |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | Vice President - Business Development |
| EMPLOYER POC ADDRESS1 | c/o 123STORES, INC. |
| EMPLOYER POC ADDRESS2 | 4138 37TH STREET |
| EMPLOYER POC CITY | LONG ISLAND CITY |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16465767555 |
| EMPLOYER POC EMAIL | eddie@123stores.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | GILBERT ESQ |
| AGENT ATTORNEY FIRST NAME | IVAN |
| AGENT ATTORNEY MIDDLE NAME | JEFFREY |
| AGENT ATTORNEY ADDRESS1 | 539 Neilson Street |
| AGENT ATTORNEY CITY | Berkeley |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94707 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12125379337.0 |
| AGENT ATTORNEY EMAIL ADDRESS | IVAN@IMMLEXLAW.COM |
| LAWFIRM NAME BUSINESS NAME | IMMLEX LAW GROUP/LAW OFFICES OF HOWARD MILLER |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4138 37TH STREET |
| LCA CASE WORKLOC1 CITY | LONG ISLAND CITY |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11101 |
| LCA CASE WAGE RATE FROM | 170000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 168251.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
