| LCA CASE NUMBER | I-200-21096-200113 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-06 |
| DECISION DATE | 2021-04-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Assistant Planner |
| SOC CODE | 13-1081.00 |
| SOC TITLE | Logisticians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Grocery Outlet Inc |
| TRADE NAME DBA | Grocery Outlet Inc |
| EMPLOYER ADDRESS1 | 5650 Hollis Street |
| EMPLOYER CITY | Emeryville |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94608 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15108451999 |
| NAICS CODE | 445110 |
| EMPLOYER POC LAST NAME | Hague |
| EMPLOYER POC FIRST NAME | Karen |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS 1 | 5650 Hollis Street |
| EMPLOYER POC CITY | Emeryville |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94608 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15108451999 |
| EMPLOYER POC EMAIL | khague@cfgo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Brollesy |
| AGENT ATTORNEY FIRST NAME | Hany |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 123 North Union Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 305 |
| AGENT ATTORNEY CITY | Cranford |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7016 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19087090500 |
| AGENT ATTORNEY EMAIL ADDRESS | hbrollesy@lslawyers.com |
| LAWFIRM NAME BUSINESS NAME | Lubiner Schmidt & Palumbo LLC |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5650 Hollis Street |
| LCA CASE WORKLOC1 CITY | Emeryville |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94608 |
| LCA CASE WAGE RATE FROM | 60000 |
| LCA CASE WAGE RATE TO | 70000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 51293 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Brollesy |
| PREPARER FIRST NAME | Hany |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Lubiner Schmidt & Palumbo LLC |
| PREPARER EMAIL | hbrollesy@LSLawyers.com |
