| LCA CASE NUMBER | I-200-21161-387782 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-06-10 |
| DECISION DATE | 2021-11-15 |
| ORIGINAL CERT DATE | 2021-06-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | BIOMEDICAL ENGINEER |
| SOC CODE | 17-2031.00 |
| SOC TITLE | Biomedical Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 | XS SUPPLY, LLC |
| EMPLOYER ADDRESS1 | 10360 72ND STREET |
| EMPLOYER ADDRESS2 | UNIT 820 |
| EMPLOYER CITY | LARGO |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33777 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18447903897 |
| EMPLOYER PHONE EXT | 2000 |
| NAICS CODE | 423450 |
| EMPLOYER POC LAST NAME | BERGER |
| EMPLOYER POC FIRST NAME | TYLER |
| EMPLOYER POC MIDDLE NAME | B. |
| EMPLOYER POC JOB TITLE | CHIEF FINANCIAL OFFICER |
| EMPLOYER POC ADDRESS1 | 10360 72ND STREET |
| EMPLOYER POC ADDRESS2 | UNIT 820 |
| EMPLOYER POC CITY | LARGO |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33777 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18447903897 |
| EMPLOYER POC PHONE EXT | 6000 |
| EMPLOYER POC EMAIL | TYLER@XS-SUPPLY.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PATEL |
| AGENT ATTORNEY FIRST NAME | DILIP |
| AGENT ATTORNEY ADDRESS1 | 401 E. JACKSON STREET |
| AGENT ATTORNEY ADDRESS2 | STE 2400 |
| AGENT ATTORNEY CITY | TAMPA |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18132221120 |
| AGENT ATTORNEY EMAIL ADDRESS | DILIP.PATEL@BIPC.COM |
| LAWFIRM NAME BUSINESS NAME | BUCHANAN INGERSOLL & ROONEY P.C. |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10360 72ND STREET |
| WORKSITE ADDRESS2 | UNIT 820 |
| LCA CASE WORKLOC1 CITY | LARGO |
| WORKSITE COUNTY | PINELLAS |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33777 |
| LCA CASE WAGE RATE FROM | 76960 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 76960 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | PATEL |
| PREPARER FIRST NAME | DILIP |
| PREPARER BUSINESS NAME | BUCHANAN INGERSOLL & ROONEY, P.C. |
| PREPARER EMAIL | YESSENIA.CRUZ@BIPC.COM |
