| LCA CASE NUMBER | I-200-24137-003005 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-05-16 |
| DECISION DATE | 2024-05-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-07-09 |
| END DATE | 2027-07-08 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Mavis Tire Supply LLC |
| TRADE NAME DBA | Mavis Discount Tires |
| EMPLOYER ADDRESS1 | 358 Saw Mill River Road |
| EMPLOYER CITY | Millwood |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10546 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19149842500 |
| EMPLOYER PHONE EXT | 5310 |
| NAICS CODE | 441340 |
| EMPLOYER POC LAST NAME | Cairo |
| EMPLOYER POC FIRST NAME | Susanne |
| EMPLOYER POC JOB TITLE | Vice President, Litigation and Employment |
| EMPLOYER POC ADDRESS1 | 358 Saw Mill River Road |
| EMPLOYER POC CITY | Millwood |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10546 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19149842500 |
| EMPLOYER POC PHONE EXT | 5310 |
| EMPLOYER POC EMAIL | scairo@mavis.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 | nadine.trinh@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 | 358 Saw Mill River Road |
| LCA CASE WORKLOC1 CITY | Millwood |
| WORKSITE COUNTY | WESTCHESTER |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10546 |
| LCA CASE WAGE RATE FROM | 115918 |
| LCA CASE WAGE RATE TO | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 115918 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Agatonovic |
| PREPARER FIRST NAME | Bosiljka |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Jackson Lewis PC |
| PREPARER EMAIL | bosiljka.agatonovic@jacksonlewis.com |