| LCA CASE NUMBER | I-200-21098-210065 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-08 |
| DECISION DATE | 2021-04-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Manager of Enterprise Integration Services |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-20 |
| END DATE | 2024-09-19 |
| 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 | HARRIS TEETER, LLC |
| EMPLOYER ADDRESS1 | 701 CRESTDALE ROAD |
| EMPLOYER CITY | MATTHEWS |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17048443551 |
| NAICS CODE | 445110 |
| EMPLOYER POC LAST NAME | Bernsdorf |
| EMPLOYER POC FIRST NAME | Dianne |
| EMPLOYER POC JOB TITLE | Supervisor of Corporate Staffing |
| EMPLOYER POC ADDRESS 1 | 701 CRESTDALE ROAD |
| EMPLOYER POC CITY | MATTHEWS |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17048444610 |
| EMPLOYER POC EMAIL | dbernsdorf@harristeeter.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stevenson |
| AGENT ATTORNEY FIRST NAME | Shanon |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 1075 Peachtree Street, NE |
| AGENT ATTORNEY ADDRESS2 | Suite 3500 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14042405842 |
| AGENT ATTORNEY EMAIL ADDRESS | sstevenson@fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | GA |
|
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 701 Crestdale Road |
| LCA CASE WORKLOC1 CITY | Matthews |
| WORKSITE COUNTY | MECKLENBURG |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 28105 |
| LCA CASE WAGE RATE FROM | 147000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 143978 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
