| LCA CASE NUMBER | I-200-21263-593191 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-20 |
| DECISION DATE | 2021-09-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Sr Software Engineer |
| SOC CODE | 15-1133.00 |
| SOC TITLE | Software Developers, Systems Software |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-03 |
| END DATE | 2025-01-02 |
| 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 | FANATICS RETAIL GROUP FULFILLMENT, LLC. |
| TRADE NAME DBA | FANATICS |
| EMPLOYER ADDRESS1 | 8100 NATIONS WAY |
| EMPLOYER CITY | JACKSONVILLE |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32256 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19044214715 |
| NAICS CODE | 45411 |
| EMPLOYER POC LAST NAME | MCCOWN |
| EMPLOYER POC FIRST NAME | HALEY |
| EMPLOYER POC JOB TITLE | VP, HR Operations |
| EMPLOYER POC ADDRESS1 | 8100 NATIONS WAY |
| EMPLOYER POC CITY | JACKSONVILLE |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32256 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19044214715 |
| EMPLOYER POC EMAIL | HMCCOWN@FANATICS.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | TRINH |
| AGENT ATTORNEY FIRST NAME | NADINE |
| AGENT ATTORNEY MIDDLE NAME | T |
| AGENT ATTORNEY ADDRESS1 | 44 SOUTH BROADWAY |
| AGENT ATTORNEY ADDRESS2 | 14TH FLOOR |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726910 |
| AGENT ATTORNEY EMAIL ADDRESS | trinhn@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
|
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8301 Cypress Plaza Drive |
| WORKSITE ADDRESS2 | Building 500 |
| LCA CASE WORKLOC1 CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32256 |
| LCA CASE WAGE RATE FROM | 95056 |
| LCA CASE WAGE RATE TO | 122814 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 95056 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SANCHEZ AYBAR |
| PREPARER FIRST NAME | KEIRY |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | Keiry.sanchezaybar@jacksonlewis.com |
