| LCA CASE NUMBER | I-200-21040-066110 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-02-09 |
| DECISION DATE | 2021-12-08 |
| ORIGINAL CERT DATE | 2021-02-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Industrial Engineer |
| SOC CODE | 17-2112.00 |
| SOC TITLE | Industrial Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-22 |
| END DATE | 2024-02-21 |
| 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 | The Black Tux, Inc. |
| EMPLOYER ADDRESS1 | 14600 S. Main Street |
| EMPLOYER CITY | Gardena |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90248 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14159337308 |
| NAICS CODE | 5322 |
| EMPLOYER POC LAST NAME | Snyder |
| EMPLOYER POC FIRST NAME | Mallory |
| EMPLOYER POC JOB TITLE | VP of Talent & People |
| EMPLOYER POC ADDRESS1 | 14600 S. Main Street |
| EMPLOYER POC CITY | Gardena |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90248 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14159337308 |
| EMPLOYER POC EMAIL | mallory@theblacktux.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bach |
| AGENT ATTORNEY FIRST NAME | James |
| AGENT ATTORNEY MIDDLE NAME | Arnold |
| AGENT ATTORNEY ADDRESS1 | 100 Bush Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1980 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14152483100 |
| AGENT ATTORNEY EMAIL ADDRESS | jbach@immilaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of James A. Bach |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 105 Research Drive |
| LCA CASE WORKLOC1 CITY | Jenkins Township |
| WORKSITE COUNTY | LUZERNE |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 18640 |
| LCA CASE WAGE RATE FROM | 80662 |
| LCA CASE WAGE RATE TO | 90000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80662 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | Gardner (JN) |
| PREPARER FIRST NAME | Amanda |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Law Offices of James A. Bach |
| PREPARER EMAIL | agardner@immilaw.com |
