| LCA CASE NUMBER | I-200-20140-586032 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-05-19 |
| DECISION DATE | 2020-07-17 |
| ORIGINAL CERT DATE | 2020-05-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Industrial Engineer |
| SOC CODE | 17-2112.00 |
| SOC TITLE | Industrial Engineers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-01 |
| END DATE | 2023-05-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Sites Medical, LLC |
| EMPLOYER ADDRESS1 | 5865 E. SR 14 |
| EMPLOYER CITY | Columbia City |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47625 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12606251546 |
| EMPLOYER PHONE EXT | 0.0 |
| NAICS CODE | 5417 |
| EMPLOYER POC LAST NAME | STALCUP |
| EMPLOYER POC FIRST NAME | Gregory |
| EMPLOYER POC MIDDLE NAME | C |
| EMPLOYER POC JOB TITLE | Chief Exective Officer |
| EMPLOYER POC ADDRESS1 | 5865 E. SR 14 |
| EMPLOYER POC CITY | Columbia City |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47625 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12606251546 |
| EMPLOYER POC PHONE EXT | 0.0 |
| EMPLOYER POC EMAIL | gstalcup@sitesmedcial.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Tuchman |
| AGENT ATTORNEY FIRST NAME | Steven |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | One American Square |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46282 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13176391210.0 |
| AGENT ATTORNEY PHONE EXT | 2115.0 |
| AGENT ATTORNEY EMAIL ADDRESS | STUCHMAN@LEWIS-KAPPES.COM |
| LAWFIRM NAME BUSINESS NAME | Lewis Kappes |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | Sites Medical LLC |
| WORKSITE ADDRESS2 | 5865 E. SR 14 |
| LCA CASE WORKLOC1 CITY | Columbia City |
| WORKSITE COUNTY | WHITLEY |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47625 |
| LCA CASE WAGE RATE FROM | 80000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 65374.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
