| LCA CASE NUMBER | I-200-22051-916759 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-02-20 |
| DECISION DATE | 2022-02-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Quality Engineer |
| SOC CODE | 17-2112.00 |
| SOC TITLE | Industrial Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-05-20 |
| END DATE | 2025-05-19 |
| 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 | Polymer Technology Systems, Inc. |
| TRADE NAME DBA | PTS Diagnostics |
| EMPLOYER ADDRESS1 | 4600 Anson Blvd |
| EMPLOYER CITY | Whitestown |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46075 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13178705610 |
| NAICS CODE | 33911 |
| EMPLOYER POC LAST NAME | Grandidier |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 4600 Anson Blvd |
| EMPLOYER POC CITY | Whitestown |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46075 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13178705610 |
| EMPLOYER POC EMAIL | jgrandier@ptsdiagnostics.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Broyles |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Ashley |
| AGENT ATTORNEY ADDRESS1 | 8250 Haverstick Road |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46240 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13174284521 |
| AGENT ATTORNEY EMAIL ADDRESS | jbroyles@bkrlaw.com |
| LAWFIRM NAME BUSINESS NAME | Broyles Kight & Ricafort |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | IN Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4600 Anson Blvd |
| LCA CASE WORKLOC1 CITY | Whitestown |
| WORKSITE COUNTY | BOONE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46075 |
| LCA CASE WAGE RATE FROM | 92000 |
| LCA CASE WAGE RATE TO | 92001 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89690 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Broyles |
| PREPARER FIRST NAME | John |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Broyles Kight & Ricafort, PC |
| PREPARER EMAIL | jbroyles@bkrlaw.com |
