| LCA CASE NUMBER | I-200-21165-396046 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2021-06-14 |
| DECISION DATE | 2021-06-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Management Analyst |
| SOC CODE | 13-1111.00 |
| SOC TITLE | Management Analysts |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-13 |
| END DATE | 2024-12-12 |
| 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 | Premium Formulations Inc |
| EMPLOYER ADDRESS1 | 300 SE 2nd Street |
| EMPLOYER ADDRESS2 | Suite 600 |
| EMPLOYER CITY | Fort Lauderdale |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19177225053 |
| NAICS CODE | 446191 |
| EMPLOYER POC LAST NAME | Isakov |
| EMPLOYER POC FIRST NAME | Rostislav |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 300 SE 2nd Street |
| EMPLOYER POC ADDRESS 2 | Suite 600 |
| EMPLOYER POC CITY | Fort Lauderdale |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13053331171 |
| EMPLOYER POC EMAIL | info@phytochoice.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Raether |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY MIDDLE NAME | Von |
| AGENT ATTORNEY ADDRESS1 | 1920 E Hallandale Beach |
| AGENT ATTORNEY ADDRESS2 | Suite 501 |
| AGENT ATTORNEY CITY | Hallandale Beach |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33009 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13055096400 |
| AGENT ATTORNEY EMAIL ADDRESS | charles@amlawpro.com |
| LAWFIRM NAME BUSINESS NAME | Amlaw Group PLLC LLC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 300 SE 2nd Street |
| WORKSITE ADDRESS2 | Suite 600 |
| LCA CASE WORKLOC1 CITY | Fort Lauderdale |
| WORKSITE COUNTY | BROWARD |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33301 |
| LCA CASE WAGE RATE FROM | 70000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 61235 |
| 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 Employment |
| PREPARER LAST NAME | Raether |
| PREPARER FIRST NAME | Charles |
| PREPARER MIDDLE INITIAL | Von |
| PREPARER BUSINESS NAME | Amlaw Group PLLC LLC |
| PREPARER EMAIL | charles@amlawpro.com |
