| LCA CASE NUMBER | I-200-21333-728187 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-29 |
| DECISION DATE | 2021-12-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Manager, Development |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-06 |
| END DATE | 2024-12-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Goodwill Industries, Inc. |
| EMPLOYER ADDRESS1 | 553 Fairview Ave. N. |
| EMPLOYER CITY | St. Paul |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16513795896 |
| NAICS CODE | 624310 |
| EMPLOYER POC LAST NAME | Tedson |
| EMPLOYER POC FIRST NAME | Katie |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Director, Employee Experience |
| EMPLOYER POC ADDRESS1 | 553 Fairview Ave. N. |
| EMPLOYER POC CITY | St. Paul |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16513795941 |
| EMPLOYER POC EMAIL | kmtedson@gesmn.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Evans |
| AGENT ATTORNEY FIRST NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | 10050 Regency Circle, 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 | jacque.banker@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, PC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 15119 Emory Cir |
| LCA CASE WORKLOC1 CITY | Apple Valley |
| WORKSITE COUNTY | DAKOTA |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55124 |
| LCA CASE WAGE RATE FROM | 109866 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 109866 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Banker |
| PREPARER FIRST NAME | Jacque |
| PREPARER BUSINESS NAME | Jackson Lewis, PC |
| PREPARER EMAIL | jacque.banker@jacksonlewis.com |
