| LCA CASE NUMBER | I-200-21280-631724 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-07 |
| DECISION DATE | 2021-10-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Assurance Engineer - KBGFJG164969-1 |
| SOC CODE | 17-2031.00 |
| SOC TITLE | Biomedical Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-07 |
| END DATE | 2024-09-30 |
| 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 | Lantz Medical Inc |
| EMPLOYER ADDRESS1 | 7750 Zionsville Rd |
| EMPLOYER ADDRESS2 | STE 800 |
| EMPLOYER CITY | Indianapolis |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46268 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13175364870 |
| NAICS CODE | 42345 |
| EMPLOYER POC LAST NAME | Addington |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | Director of QA and Assurance |
| EMPLOYER POC ADDRESS1 | 7750 Zionsville Road |
| EMPLOYER POC CITY | Indianapolis |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46268-5128 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13175364870 |
| EMPLOYER POC EMAIL | jaddington@lantzmedical.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Walker |
| AGENT ATTORNEY FIRST NAME | Jonathan |
| AGENT ATTORNEY MIDDLE NAME | Paul |
| AGENT ATTORNEY ADDRESS1 | 2200 - 215 2 ST SW |
| AGENT ATTORNEY CITY | CALGARY |
| AGENT ATTORNEY POSTAL CODE | T2P1M4 |
| AGENT ATTORNEY COUNTRY | CANADA |
| AGENT ATTORNEY PROVINCE | Alberta |
| AGENT ATTORNEY PHONE | 14039565782 |
| AGENT ATTORNEY EMAIL ADDRESS | certified.lca@ca.ey.com |
| LAWFIRM NAME BUSINESS NAME | EY Law LLP |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7750 Zionsville Rd |
| WORKSITE ADDRESS2 | Ste 800 |
| LCA CASE WORKLOC1 CITY | Indianapolis |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46268 |
| LCA CASE WAGE RATE FROM | 75000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 70928 |
| 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 | Matos |
| PREPARER FIRST NAME | Stephanie |
| PREPARER BUSINESS NAME | EY Law LLP |
| PREPARER EMAIL | Stephanie.Matos@ca.ey.com |
