| LCA CASE NUMBER | I-203-21005-994369 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-04 |
| DECISION DATE | 2021-01-11 |
| VISA CLASS | E-3 Australian |
| LCA CASE JOB TITLE | Pharmacist Manager |
| SOC CODE | 29-1051.00 |
| SOC TITLE | Pharmacists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-05 |
| END DATE | 2023-04-04 |
| 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 | Fred Meyer Stores, Inc. |
| EMPLOYER ADDRESS1 | 3800 SE 22ND AVENUE |
| EMPLOYER CITY | PORTLAND |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15037977826 |
| NAICS CODE | 452311 |
| EMPLOYER POC LAST NAME | JENSEN |
| EMPLOYER POC FIRST NAME | CHUCK |
| EMPLOYER POC MIDDLE NAME | R. |
| EMPLOYER POC JOB TITLE | DISTRICT PHARMACY COORDINATOR |
| EMPLOYER POC ADDRESS 1 | 365 RENTON CENTER WAY SW |
| EMPLOYER POC ADDRESS 2 | Suite G |
| EMPLOYER POC CITY | Renton |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98055 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14252043749 |
| EMPLOYER POC EMAIL | CHUCK.JENSEN@FREDMEYER.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Renison |
| AGENT ATTORNEY FIRST NAME | Brent |
| AGENT ATTORNEY MIDDLE NAME | W |
| AGENT ATTORNEY ADDRESS1 | 610 SW Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 505 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97205 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15035977190 |
| AGENT ATTORNEY EMAIL ADDRESS | notify.brent@entrylaw.com |
| LAWFIRM NAME BUSINESS NAME | PARRILLI RENISON LLC |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | Oregon Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 700 SLEATER-KINNEY ROAD |
| LCA CASE WORKLOC1 CITY | Lacey |
| WORKSITE COUNTY | THURSTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98503 |
| LCA CASE WAGE RATE FROM | 69.55 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 55.83 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| PUBLIC DISCLOSURE | Disclose Business |
