| LCA CASE NUMBER | I-200-22003-804055 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-01-03 |
| DECISION DATE | 2022-01-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | QA Automation Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-05 |
| END DATE | 2025-01-04 |
| 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 | Safeway Inc. |
| EMPLOYER ADDRESS1 | 11555 Dublin Canyon Road |
| EMPLOYER CITY | Pleasanton |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94588 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19252265324 |
| NAICS CODE | 445110 |
| EMPLOYER POC LAST NAME | Haynes |
| EMPLOYER POC FIRST NAME | Shelby |
| EMPLOYER POC JOB TITLE | Paralegal, Specialist- Immigration & Litigation |
| EMPLOYER POC ADDRESS1 | 11555 Dublin Canyon Road |
| EMPLOYER POC CITY | Pleasanton |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94588 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19252265324 |
| EMPLOYER POC EMAIL | shelby.brooks@albertsons.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Younossi |
| AGENT ATTORNEY FIRST NAME | Helena |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 601 Gateway Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 210 |
| AGENT ATTORNEY CITY | South San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94080 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16507377600 |
| AGENT ATTORNEY EMAIL ADDRESS | LCA@younossi.com |
| LAWFIRM NAME BUSINESS NAME | Younossi Law, PC |
| STATE OF HIGHEST COURT | CA |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6080 Tennyson Parkway, Suite 400 |
| LCA CASE WORKLOC1 CITY | Plano |
| WORKSITE COUNTY | COLLIN |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75024 |
| LCA CASE WAGE RATE FROM | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 114234 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 Employment |
| PREPARER LAST NAME | Younossi |
| PREPARER FIRST NAME | Helena |
| PREPARER MIDDLE INITIAL | S. |
| PREPARER BUSINESS NAME | Younossi Law, PC |
| PREPARER EMAIL | LCA@Younossi.com |
