| LCA CASE NUMBER | I-200-21074-148035 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-15 |
| DECISION DATE | 2021-03-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Project Engineer |
| SOC CODE | 13-1051.00 |
| SOC TITLE | Cost Estimators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-09 |
| END DATE | 2024-09-08 |
| 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 | UNIVERSAL FLOORING SYSTEMS, INC. |
| EMPLOYER ADDRESS1 | 15573 COMMERCE LANE |
| EMPLOYER CITY | HUNTINGTON BEACH |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92649 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17143731136 |
| NAICS CODE | 23833 |
| EMPLOYER POC LAST NAME | BASTIEN |
| EMPLOYER POC FIRST NAME | WENDY |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS 1 | 15573 Commerce Lane |
| EMPLOYER POC CITY | Huntington Beach |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92649 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17143731136 |
| EMPLOYER POC EMAIL | wbastien@universalflooring.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | HO |
| AGENT ATTORNEY FIRST NAME | AMY |
| AGENT ATTORNEY ADDRESS1 | 444 SOUTH FLOWER STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 500 |
| AGENT ATTORNEY CITY | LOS ANGELES |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90071 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13108203322 |
| AGENT ATTORNEY EMAIL ADDRESS | xtong@FRAGOMEN.COM |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CALIFORNIA SUPREME COURT |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 15573 COMMERCE LANE |
| LCA CASE WORKLOC1 CITY | HUNTINGTON BEACH |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92649 |
| LCA CASE WAGE RATE FROM | 60000 |
| LCA CASE WAGE RATE TO | 80000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 41371 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | TONG |
| PREPARER FIRST NAME | XUAN |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN AND LOEWY, LLP |
| PREPARER EMAIL | XTONG@FRAGOMEN.COM |
