| LCA CASE NUMBER | I-200-21181-437643 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-30 |
| DECISION DATE | 2021-07-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pharmacist |
| SOC CODE | 29-1051.00 |
| SOC TITLE | Pharmacists |
| 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 | Hayat Pharmacy 5, LLC |
| TRADE NAME DBA | Hayat Pharmacy 5, LLC f/k/a MTH, LLC |
| EMPLOYER ADDRESS1 | 1919 W. North Avenue |
| EMPLOYER CITY | Milwaukee |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53205 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14143740000 |
| NAICS CODE | 446110 |
| EMPLOYER POC LAST NAME | Zaibak |
| EMPLOYER POC FIRST NAME | Hashim |
| EMPLOYER POC JOB TITLE | Pharmacy Manager |
| EMPLOYER POC ADDRESS1 | 1919 W. North Avenue |
| EMPLOYER POC CITY | Milwaukee |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53205 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14143740000 |
| EMPLOYER POC EMAIL | zaibakprn@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Siy |
| AGENT ATTORNEY FIRST NAME | Lucio |
| AGENT ATTORNEY MIDDLE NAME | Steven |
| AGENT ATTORNEY ADDRESS1 | 10125 W North Avenue |
| AGENT ATTORNEY ADDRESS2 | Stop 2 |
| AGENT ATTORNEY CITY | Wauwatosa |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53226 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14147744700 |
| AGENT ATTORNEY EMAIL ADDRESS | lssiylaw@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Lucio Steven Siy, Attorney at Law |
|
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1919 W North Avenue |
| LCA CASE WORKLOC1 CITY | Milwaukee |
| WORKSITE COUNTY | MILWAUKEE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53205 |
| LCA CASE WAGE RATE FROM | 104000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103958 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | SIY |
| PREPARER FIRST NAME | LUCIO |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Lucio Steven Siy, Attorney at Law |
| PREPARER EMAIL | lssiylaw@gmail.com |
