| LCA CASE NUMBER | I-200-21219-508553 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-06 |
| DECISION DATE | 2021-08-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | QA Engineer II |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-23 |
| END DATE | 2024-08-22 |
| 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 | F21 OpCo, LLC. |
| TRADE NAME DBA | FOREVER 21 |
| EMPLOYER ADDRESS1 | 3880 N Mission Rd. |
| EMPLOYER CITY | Los Angeles |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90031 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12137415100 |
| NAICS CODE | 44812 |
| EMPLOYER POC LAST NAME | Holguin |
| EMPLOYER POC FIRST NAME | Laura |
| EMPLOYER POC JOB TITLE | Legal Assistant |
| EMPLOYER POC ADDRESS1 | 3880 N. Mission Rd. |
| EMPLOYER POC CITY | Los Angeles |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90031 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12137436394 |
| EMPLOYER POC EMAIL | laura.holguin@forever21.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kim |
| AGENT ATTORNEY FIRST NAME | Youngok |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 3700 Wilshire blvd suite 500 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12133812900 |
| AGENT ATTORNEY EMAIL ADDRESS | ep@hopelaw.com |
| LAWFIRM NAME BUSINESS NAME | Hope Law Group, P.C. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3880 N. Mission Rd. |
| LCA CASE WORKLOC1 CITY | Los Angeles |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90031 |
| LCA CASE WAGE RATE FROM | 110000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 109595 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kim |
| PREPARER FIRST NAME | Youngok |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | HOPE LAW GROUP PC |
| PREPARER EMAIL | ep@hopelaw.com |
