| LCA CASE NUMBER | I-200-21046-077201 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-15 |
| DECISION DATE | 2021-02-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Control Engineer |
| SOC CODE | 17-3026.00 |
| SOC TITLE | Industrial Engineering Technicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-02 |
| END DATE | 2024-07-31 |
| 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 | Rivanna Medical, LLC |
| TRADE NAME DBA | RIVANNA |
| EMPLOYER ADDRESS1 | 107 E Water Street |
| EMPLOYER CITY | Charlottesville |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22902 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18006457508 |
| EMPLOYER PHONE EXT | 701 |
| NAICS CODE | 334510 |
| EMPLOYER POC LAST NAME | Mauldin |
| EMPLOYER POC FIRST NAME | Frank |
| EMPLOYER POC MIDDLE NAME | William |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 107 East Water Street |
| EMPLOYER POC CITY | Charlottesville |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22902 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18006457508 |
| EMPLOYER POC PHONE EXT | 701 |
| EMPLOYER POC EMAIL | wmauldin@rivannamedical.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Francisco |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Wood |
| AGENT ATTORNEY ADDRESS1 | Woods Rogers, PLC |
| AGENT ATTORNEY ADDRESS2 | 828 Main Street, Suite 19 |
| AGENT ATTORNEY CITY | Lynchburg |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 24504 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14344559113 |
| AGENT ATTORNEY EMAIL ADDRESS | jfrancisco@woodsrogers.com |
| LAWFIRM NAME BUSINESS NAME | Woods Rogers, PLC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Virginia Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 107 East Water Street |
| LCA CASE WORKLOC1 CITY | Charlottesville |
| WORKSITE COUNTY | CHARLOTTESVILLE CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22902 |
| LCA CASE WAGE RATE FROM | 50000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 49088 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Francisco |
| PREPARER FIRST NAME | John |
| PREPARER MIDDLE INITIAL | W |
| PREPARER BUSINESS NAME | Woods Rogers PLC |
| PREPARER EMAIL | jfrancisco@woodsrogers.com |
