| LCA CASE NUMBER | I-200-21081-163698 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-22 |
| DECISION DATE | 2021-03-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Engineering Team Leader |
| SOC CODE | 17-2112.00 |
| SOC TITLE | Industrial Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-21 |
| END DATE | 2024-09-20 |
| 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 | Industrial Molds, Inc. |
| EMPLOYER ADDRESS1 | 5175 27th Ave. |
| EMPLOYER CITY | Rockford |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61109 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18153972971 |
| NAICS CODE | 332313 |
| EMPLOYER POC LAST NAME | Belone |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | 5175 27th Ave. |
| EMPLOYER POC CITY | Rockford |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61109 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18159642897 |
| EMPLOYER POC EMAIL | jessica.bellone@Industrialmolds.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Strand |
| AGENT ATTORNEY FIRST NAME | Brett |
| AGENT ATTORNEY MIDDLE NAME | Andrew |
| AGENT ATTORNEY ADDRESS1 | 1235 N. Mulford Rd. |
| AGENT ATTORNEY ADDRESS2 | Suite 208 |
| AGENT ATTORNEY CITY | Rockford |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 61107 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17792102940 |
| AGENT ATTORNEY PHONE EXT | 2 |
| AGENT ATTORNEY EMAIL ADDRESS | bas@lechtenberglawfirm.com |
| LAWFIRM NAME BUSINESS NAME | Lechtenberg & Associates LLC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5175 27th Ave. |
| LCA CASE WORKLOC1 CITY | Rockford |
| WORKSITE COUNTY | WINNEBAGO |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61109 |
| LCA CASE WAGE RATE FROM | 63232 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 63232 |
| 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 | Strand |
| PREPARER FIRST NAME | Brett |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Lechtenberg & Associates LLC |
| PREPARER EMAIL | bas@lechtenberglawfirm.com |
