| LCA CASE NUMBER | I-200-21097-205337 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-07 |
| DECISION DATE | 2021-04-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Product Manager |
| SOC CODE | 15-1199.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-03 |
| END DATE | 2024-06-02 |
| 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 | Cvstom Co. |
| TRADE NAME DBA | Uniform Teeth |
| EMPLOYER ADDRESS1 | 999 Sutter Street |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94109 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19166010934 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Wagner |
| EMPLOYER POC FIRST NAME | Gabrielle |
| EMPLOYER POC JOB TITLE | Director of Recruiting |
| EMPLOYER POC ADDRESS 1 | 999 Sutter Street |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94109 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19166010934 |
| EMPLOYER POC EMAIL | gabrielle.wagner@uniformteeth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mendoza |
| AGENT ATTORNEY FIRST NAME | Ashley |
| AGENT ATTORNEY MIDDLE NAME | Emerson |
| AGENT ATTORNEY ADDRESS1 | 142 Old Ridgefield Road |
| AGENT ATTORNEY ADDRESS2 | Suite 202 |
| AGENT ATTORNEY CITY | Wilton |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6897 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12035293760 |
| AGENT ATTORNEY PHONE EXT | 103 |
| AGENT ATTORNEY EMAIL ADDRESS | amendoza@robertsimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Roberts Immigration Law Group, LLC |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court of Connecticut |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 999 Sutter Street |
| LCA CASE WORKLOC1 CITY | San Francisco |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94109 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 145205 |
| 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 |
