| LCA CASE NUMBER | I-200-21061-112294 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-03-02 |
| DECISION DATE | 2021-10-12 |
| ORIGINAL CERT DATE | 2021-03-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Systems Validation Engineer Computer Analyst |
| SOC CODE | 17-2199.02 |
| SOC TITLE | Validation Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-15 |
| END DATE | 2024-08-14 |
| 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 | Crown Laboratories, Inc. |
| EMPLOYER ADDRESS1 | 349 Lafe Cox Drive |
| EMPLOYER CITY | Johnson City |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14236302207 |
| NAICS CODE | 325412 |
| EMPLOYER POC LAST NAME | Webb |
| EMPLOYER POC FIRST NAME | Phil |
| EMPLOYER POC JOB TITLE | Vice President of Global Human Resources |
| EMPLOYER POC ADDRESS1 | 349 Lafe Cox Drive |
| EMPLOYER POC CITY | Johnson City |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14236300525 |
| EMPLOYER POC EMAIL | PWebb@crownlaboratories.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fortier |
| AGENT ATTORNEY FIRST NAME | Kelly |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 790 N. Water Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14142716560 |
| AGENT ATTORNEY EMAIL ADDRESS | jjnelson@michaelbest.com |
| LAWFIRM NAME BUSINESS NAME | Michael Best & Friedrich LLP |
|
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 349 Lafe Cox Drive |
| LCA CASE WORKLOC1 CITY | Johnson City |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37604 |
| LCA CASE WAGE RATE FROM | 85000 |
| LCA CASE WAGE RATE TO | 95000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80870 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
| PREPARER LAST NAME | Nelson |
| PREPARER FIRST NAME | Jamie |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Michael Best & Friedrich LLP |
| PREPARER EMAIL | jjnelson@michaelbest.com |
