\ H1B CASE NUMBER I-200-21096-200139



CASE NUNBER: I-200-21096-200139

LCA CASE NUMBERI-200-21096-200139
STATUSCertified - Withdrawn
LCA CASE SUBMIT2021-04-06
DECISION DATE2022-09-07
ORIGINAL CERT DATE2021-04-13
VISA CLASSH-1B
LCA CASE JOB TITLEData Analyst
SOC CODE15-1199.08
SOC TITLEBusiness Intelligence Analysts
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-10-01
END DATE2024-09-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEExcel Impact, LLC
EMPLOYER ADDRESS11035 NE 125th Street
EMPLOYER ADDRESS2Suite 310
EMPLOYER CITYNorth Miami
EMPLOYER STATEFL
EMPLOYER POSTAL CODE33161
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE18665174887
NAICS CODE541613
EMPLOYER POC LAST NAMEMarrero
EMPLOYER POC FIRST NAMERodolfo
EMPLOYER POC JOB TITLEChief Technology Officer
EMPLOYER POC ADDRESS11035 NE 125th Street
EMPLOYER POC ADDRESS2Suite 310
EMPLOYER POC CITYNorth Miami
EMPLOYER POC STATEFL
EMPLOYER POC POSTAL CODE33161
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE18665174887
EMPLOYER POC EMAILrodolfo@excelimpact.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEKosobucki
AGENT ATTORNEY FIRST NAMERyan
AGENT ATTORNEY MIDDLE NAMEWilliam
AGENT ATTORNEY ADDRESS11452 North U.S. Highway 1
AGENT ATTORNEY ADDRESS2Suite 127
AGENT ATTORNEY CITYOrmond Beach
AGENT ATTORNEY STATEFL
AGENT ATTORNEY POSTAL CODE32174
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE13865068898
AGENT ATTORNEY EMAIL ADDRESSryan@ktimmigration.us
LAWFIRM NAME BUSINESS NAMEKosobucki & Tessier PLLC
STATE OF HIGHEST COURTFL
NAME OF HIGHEST STATE COURTSupreme Court of Florida
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11035 NE 125th Street
WORKSITE ADDRESS2Suite 310
LCA CASE WORKLOC1 CITYNorth Miami
WORKSITE COUNTYMIAMI-DADE
LCA CASE WORKLOC1 STATEFL
WORKSITE POSTAL CODE33161
LCA CASE WAGE RATE FROM72000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE57741
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business and Employment