| LCA CASE NUMBER | I-200-21180-433316 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-29 |
| DECISION DATE | 2021-07-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Principal Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Shipt, Inc. |
| TRADE NAME DBA | Shipt |
| EMPLOYER ADDRESS1 | 420 20th Street North |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Birmingham |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 35203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12055022500 |
| NAICS CODE | 518210 |
| EMPLOYER POC LAST NAME | Krozos |
| EMPLOYER POC FIRST NAME | Helen |
| EMPLOYER POC MIDDLE NAME | NS |
| EMPLOYER POC JOB TITLE | Director, HR Business Partner |
| EMPLOYER POC ADDRESS1 | 201 3rd Street |
| EMPLOYER POC ADDRESS2 | 8th Floor |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94103 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12055022500 |
| EMPLOYER POC EMAIL | helen@shipt.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pangilinan |
| AGENT ATTORNEY FIRST NAME | Don |
| AGENT ATTORNEY MIDDLE NAME | Lacsina |
| AGENT ATTORNEY ADDRESS1 | 930 Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | Suite 502 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
|
| AGENT ATTORNEY PHONE | 18009742691 |
| AGENT ATTORNEY EMAIL ADDRESS | donpangilinan@levin-immigration.com |
| LAWFIRM NAME BUSINESS NAME | Philip Levin and Associates Prof. Corp. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1010 Lake St NE |
| WORKSITE ADDRESS2 | APT 712 |
| LCA CASE WORKLOC1 CITY | Hopkins |
| WORKSITE COUNTY | HENNEPIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55343 |
| LCA CASE WAGE RATE FROM | 180000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122741 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pangilinan |
| PREPARER FIRST NAME | Don |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Philip Levin & Associates, Prof. Corp. |
| PREPARER EMAIL | donpangilinan@levin-immigration.com |
