| LCA CASE NUMBER | I-200-21047-080317 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-16 |
| DECISION DATE | 2021-02-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Product Designer |
| SOC CODE | 27-1021.00 |
| SOC TITLE | Commercial and Industrial Designers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-16 |
| END DATE | 2024-01-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Landscape Forms, Inc. |
| TRADE NAME DBA | d/b/a LFI |
| EMPLOYER ADDRESS1 | 7800 East Michigan |
| EMPLOYER CITY | Kalamazoo |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49048 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12693371308 |
| NAICS CODE | 337127 |
| EMPLOYER POC LAST NAME | Jackson |
| EMPLOYER POC FIRST NAME | Natalie |
| EMPLOYER POC JOB TITLE | Director of Talent and Organization Development |
| EMPLOYER POC ADDRESS 1 | 7800 East Michigan Ave |
| EMPLOYER POC CITY | Kalamazoo |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49048 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12693371308 |
| EMPLOYER POC EMAIL | nataliej@landscapeforms.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Koryto |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY ADDRESS1 | 100 West Michigan Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Kalamazoo |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49007 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12692262979 |
| AGENT ATTORNEY EMAIL ADDRESS | korytoj@millerjohnson.com |
| LAWFIRM NAME BUSINESS NAME | Miller Johnson |
| STATE OF HIGHEST COURT | MI |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7800 East Michigan Avenue |
| LCA CASE WORKLOC1 CITY | Kalamazoo |
| WORKSITE COUNTY | KALAMAZOO |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49048 |
| LCA CASE WAGE RATE FROM | 67746 |
| LCA CASE WAGE RATE TO | 74438 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 67746 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
