| LCA CASE NUMBER | I-200-21127-294434 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-05-06 |
| DECISION DATE | 2021-09-14 |
| ORIGINAL CERT DATE | 2021-05-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pharmacy Manager |
| SOC CODE | 29-1051 |
| SOC TITLE | Pharmacists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Safeway Inc. |
| EMPLOYER ADDRESS1 | 11555 Dublin Canyon Road |
| EMPLOYER CITY | Pleasanton |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94588 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19252265324 |
| NAICS CODE | 445110 |
| EMPLOYER POC LAST NAME | Brooks |
| EMPLOYER POC FIRST NAME | Shelby |
| EMPLOYER POC JOB TITLE | Paralegal, Specialist- Immigration & Litigation |
| EMPLOYER POC ADDRESS1 | 11555 Dublin Canyon Road |
| EMPLOYER POC CITY | Pleasanton |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94588 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19252265324 |
| EMPLOYER POC EMAIL | shelby.brooks@safeway.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Younossi |
| AGENT ATTORNEY FIRST NAME | Helena |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 601 Gateway Boulevard |
| AGENT ATTORNEY ADDRESS2 | Ste. 210 |
| AGENT ATTORNEY CITY | South San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94080 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16507377600 |
| AGENT ATTORNEY PHONE EXT | 111 |
| AGENT ATTORNEY EMAIL ADDRESS | LCA@younossi.com |
| LAWFIRM NAME BUSINESS NAME | Younossi Law, PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1635 E. Cottonwood Street |
| LCA CASE WORKLOC1 CITY | Cottonwood |
| WORKSITE COUNTY | YAVAPAI |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 86326 |
| LCA CASE WAGE RATE FROM | 69 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 62.49 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Younossi |
| PREPARER FIRST NAME | Helena |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Younossi Law, PC |
| PREPARER EMAIL | LCA@younossi.com |
