| LCA CASE NUMBER | I-200-21305-679815 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-01 |
| DECISION DATE | 2021-11-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Integration Specialist |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-10 |
| END DATE | 2024-11-09 |
| 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 | Performance Food Group |
| EMPLOYER ADDRESS1 | 12500 West Creek Parkway |
| EMPLOYER CITY | Richmond |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23238 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18044847700 |
| NAICS CODE | 424410 |
| EMPLOYER POC LAST NAME | Johnson |
| EMPLOYER POC FIRST NAME | Ashley |
| EMPLOYER POC JOB TITLE | Vice President Human Resources |
| EMPLOYER POC ADDRESS1 | 12500 West Creek Parkway |
| EMPLOYER POC CITY | Richmond |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23238 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18044847700 |
| EMPLOYER POC EMAIL | ashley.johnson@pfgc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peck |
| AGENT ATTORNEY FIRST NAME | Amy |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 10050 Regency Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023911991 |
| AGENT ATTORNEY EMAIL ADDRESS | amy.peck@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis PC |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Nebraska Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1730 Birch Place |
| WORKSITE ADDRESS2 | APT 207 |
| LCA CASE WORKLOC1 CITY | Schaumburg |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60173 |
| LCA CASE WAGE RATE FROM | 116722 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 107931 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Prophit |
| PREPARER FIRST NAME | Shari |
| PREPARER BUSINESS NAME | Jackson Lewis PC |
| PREPARER EMAIL | shari.prophit@jacksonlewis.com |
