| LCA CASE NUMBER | I-200-21064-125634 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-05 |
| DECISION DATE | 2021-03-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Application Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-06 |
| END DATE | 2024-03-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Avery Dennison Corporation |
| EMPLOYER ADDRESS1 | 207 Goode Avenue |
| EMPLOYER CITY | Glendale |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16263042000 |
| NAICS CODE | 33994 |
| EMPLOYER POC LAST NAME | Del Rio |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC JOB TITLE | Sr Director, Benefits & Global Mobility |
| EMPLOYER POC ADDRESS 1 | 207 Goode Avenue |
| EMPLOYER POC CITY | Glendale |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16263042000 |
| EMPLOYER POC EMAIL | jessica.delrio@averydennison.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Boshnaick |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 444 S Flower Street |
| AGENT ATTORNEY ADDRESS2 | Suite 500 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90071 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13108203322 |
| AGENT ATTORNEY EMAIL ADDRESS | lramos@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8080 Norton Parkway |
| LCA CASE WORKLOC1 CITY | Mentor |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44060 |
| LCA CASE WAGE RATE FROM | 138876.96 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103355 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Ramos |
| PREPARER FIRST NAME | Layla |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | lramos@fragomen.com |
