| LCA CASE NUMBER | I-203-21127-297404 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-07 |
| DECISION DATE | 2021-05-14 |
| VISA CLASS | E-3 Australian |
| LCA CASE JOB TITLE | Managing Director |
| SOC CODE | 11-1021.00 |
| SOC TITLE | General and Operations Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-14 |
| END DATE | 2023-05-13 |
| 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 | Mushroom Group Corporation |
| EMPLOYER ADDRESS1 | C/O Lutz & Carr |
| EMPLOYER ADDRESS2 | 551 5th Avenue, Suite 400 |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10176 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18108953437 |
| NAICS CODE | 711410 |
| EMPLOYER POC LAST NAME | Strong |
| EMPLOYER POC FIRST NAME | Ben |
| EMPLOYER POC JOB TITLE | Head of Legal & Business Affairs |
| EMPLOYER POC ADDRESS 1 | C/O Lutz & Carr |
| EMPLOYER POC ADDRESS 2 | 551 5th Avenue, Suite 400 |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10176 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18108953437 |
| EMPLOYER POC EMAIL | ben.strong@mushroomgroup.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mandel |
| AGENT ATTORNEY FIRST NAME | Glenn |
| AGENT ATTORNEY MIDDLE NAME | David |
| AGENT ATTORNEY ADDRESS1 | 4240 Plum Bottom Rd |
| AGENT ATTORNEY CITY | Egg Harbor |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 54209 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19205599209 |
| AGENT ATTORNEY EMAIL ADDRESS | glenn.mandel@gmail.com |
| LAWFIRM NAME BUSINESS NAME | USITEX Law Inc |
|
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1710 N Fuller, #418 |
| LCA CASE WORKLOC1 CITY | Los Angeles |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90046 |
| LCA CASE WAGE RATE FROM | 62000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 61734 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| PUBLIC DISCLOSURE | Disclose Employment |
