| LCA CASE NUMBER | I-200-21062-115958 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-03 |
| DECISION DATE | 2021-03-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Engineer |
| SOC CODE | 17-2112.00 |
| SOC TITLE | Industrial Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-02 |
| END DATE | 2024-09-01 |
| 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 | Impact CNC LLC |
| EMPLOYER ADDRESS1 | 1380 S. Williams Drive |
| EMPLOYER CITY | Columbia City |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46725 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12602442919 |
| NAICS CODE | 332710 |
| EMPLOYER POC LAST NAME | Tauil |
| EMPLOYER POC FIRST NAME | Rafael |
| EMPLOYER POC JOB TITLE | Controller |
| EMPLOYER POC ADDRESS 1 | 1380 S. WILLIAMS DRIVE |
| EMPLOYER POC CITY | Columbia City |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46725 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12602445511 |
| EMPLOYER POC PHONE EXT | 510 |
| EMPLOYER POC EMAIL | rtauil@impactcnc.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Guerrettaz |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 20 NW First Street |
| AGENT ATTORNEY CITY | Evansville |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 47708 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18124247575 |
| AGENT ATTORNEY EMAIL ADDRESS | dguerrettaz@zsws.com |
| LAWFIRM NAME BUSINESS NAME | Ziemer, Stayman, Weitzel & Shoulders, LLP |
| STATE OF HIGHEST COURT | IN |
|
| NAME OF HIGHEST STATE COURT | Indiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1380 S. Williams Drive |
| LCA CASE WORKLOC1 CITY | Columbia City |
| WORKSITE COUNTY | WHITLEY |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46725 |
| LCA CASE WAGE RATE FROM | 70000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 67642 |
| 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 |
