| LCA CASE NUMBER | I-200-21162-392049 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-11 |
| DECISION DATE | 2021-06-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Interior Designer |
| SOC CODE | 27-1025.00 |
| SOC TITLE | Interior Designers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Gooder Supply Home Design, Inc. |
| EMPLOYER ADDRESS1 | 309 E. Brokaw Rd. |
| EMPLOYER CITY | San Jose |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95112 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14085737088 |
| NAICS CODE | 425120 |
| EMPLOYER POC LAST NAME | LOW |
| EMPLOYER POC FIRST NAME | Henderson |
| EMPLOYER POC JOB TITLE | General Manager |
| EMPLOYER POC ADDRESS 1 | 309 E. Brokaw Rd |
| EMPLOYER POC CITY | San Jose |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95112 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14085737088 |
| EMPLOYER POC EMAIL | henderson@goodersupply.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | CHAN |
| AGENT ATTORNEY FIRST NAME | CONNIE |
| AGENT ATTORNEY MIDDLE NAME | Y |
| AGENT ATTORNEY ADDRESS1 | 405 Sansome Street |
| AGENT ATTORNEY ADDRESS2 | 2nd Floor |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159564809 |
| AGENT ATTORNEY EMAIL ADDRESS | shu@connieychan.com |
| LAWFIRM NAME BUSINESS NAME | connie chan & associates P C |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CA Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 309 E. Brokaw Rd. |
| LCA CASE WORKLOC1 CITY | San Jose |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95112 |
| LCA CASE WAGE RATE FROM | 20 |
| LCA CASE WAGE RATE TO | 22 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.78 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 Employment |
