| LCA CASE NUMBER | I-200-21070-139723 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-11 |
| DECISION DATE | 2021-03-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Director of Operations |
| SOC CODE | 11-1021.00 |
| SOC TITLE | General and Operations Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-09 |
| END DATE | 2024-04-08 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Citizens Reserve, Inc. |
| EMPLOYER ADDRESS1 | 20 N. Santa Cruz Ave |
| EMPLOYER CITY | Los Gatos |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95030 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18008590748 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Tokerud |
| EMPLOYER POC FIRST NAME | Thane |
| EMPLOYER POC JOB TITLE | Financial Controller |
| EMPLOYER POC ADDRESS 1 | 20 N. Santa Cruz Ave |
| EMPLOYER POC CITY | Los Gatos |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95030 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18008590748 |
| EMPLOYER POC EMAIL | ttokerud@citizensreserve.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Locke |
| AGENT ATTORNEY FIRST NAME | Loren |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 271 17th Street, NW |
| AGENT ATTORNEY ADDRESS2 | Suite 1900 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30363 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14048883982 |
| AGENT ATTORNEY EMAIL ADDRESS | iga@fordharrison.com |
| LAWFIRM NAME BUSINESS NAME | Ford & Harrison LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3009 Blossom Hill Ct |
| LCA CASE WORKLOC1 CITY | Roswell |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30076 |
| LCA CASE WAGE RATE FROM | 123406 |
| LCA CASE WAGE RATE TO | 156997 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 123406 |
| 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 | Shannon |
| PREPARER FIRST NAME | Morgan |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Ford & Harrison, LLP |
| PREPARER EMAIL | iga@fordharrison.com |
