| LCA CASE NUMBER | I-200-21035-056009 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-04 |
| DECISION DATE | 2021-02-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Assurance Supervisor/Engineer - KBGFJG118519-2 |
| SOC CODE | 11-9041.00 |
| SOC TITLE | Architectural and Engineering Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-15 |
| END DATE | 2024-02-14 |
| 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 | Phillips-Medisize Northeast, LLC |
| EMPLOYER ADDRESS1 | Headquarter office |
| EMPLOYER ADDRESS2 | One Union Street |
| EMPLOYER CITY | Clinton |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1510 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13168287380 |
| NAICS CODE | 339112 |
| EMPLOYER POC LAST NAME | McClung |
| EMPLOYER POC FIRST NAME | Shannon |
| EMPLOYER POC MIDDLE NAME | Anne |
| EMPLOYER POC JOB TITLE | Immigration Specialist |
| EMPLOYER POC ADDRESS 1 | 4111 E. 37th Street N |
| EMPLOYER POC CITY | Wichita |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67220 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13168287380 |
| EMPLOYER POC EMAIL | Shannon.McClung@kochgs.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1 Union St |
| LCA CASE WORKLOC1 CITY | Clinton |
| WORKSITE COUNTY | WORCESTER CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1510 |
| LCA CASE WAGE RATE FROM | 110000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103272 |
| PW UNIT OF PAY | Year |
|
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Lau |
| PREPARER FIRST NAME | Jessica |
| PREPARER BUSINESS NAME | EY Law LLP |
| PREPARER EMAIL | Jessica.Lau@ca.ey.com |
