| LCA CASE NUMBER | I-200-21102-216926 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-12 |
| DECISION DATE | 2021-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Technology Officer |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-23 |
| END DATE | 2024-09-22 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Cabrillo Coastal General Insurance Agency, LLC. |
| EMPLOYER ADDRESS1 | 301 NW 138th Terrace |
| EMPLOYER CITY | Jonesville |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 32669 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13522242820 |
| NAICS CODE | 524210 |
| EMPLOYER POC LAST NAME | Mcnitt |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 301 NW 138th Terrace |
| EMPLOYER POC CITY | Jonesville |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 32669 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13522242820 |
| EMPLOYER POC EMAIL | mmcnitt@cabgen.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Johnson |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | Joseph |
| AGENT ATTORNEY ADDRESS1 | 1295 Scott Street |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92106 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16192696164 |
| AGENT ATTORNEY EMAIL ADDRESS | info@malitzlaw.com |
| LAWFIRM NAME BUSINESS NAME | Malitzlaw, Inc. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court of New York |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 301 NW 138th Terrace |
| LCA CASE WORKLOC1 CITY | Jonesville |
| WORKSITE COUNTY | ALACHUA |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32669 |
| LCA CASE WAGE RATE FROM | 157500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 143915 |
| 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 |
| PREPARER LAST NAME | Johnson |
| PREPARER FIRST NAME | William |
| PREPARER BUSINESS NAME | MalitzLaw, Inc. |
| PREPARER EMAIL | info@malitzlaw.com |
