| LCA CASE NUMBER | I-200-21112-249649 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-22 |
| DECISION DATE | 2021-04-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Civil Engineer |
| SOC CODE | 17-2051.00 |
| SOC TITLE | Civil Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Applied Pavement Technology, Inc. |
| TRADE NAME DBA | Not Applicable |
| EMPLOYER ADDRESS1 | 115 West Main Street |
| EMPLOYER ADDRESS2 | Suite 400 |
| EMPLOYER CITY | Urbana |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12173983977 |
| NAICS CODE | 541330 |
| EMPLOYER POC LAST NAME | Sherbeyn |
| EMPLOYER POC FIRST NAME | Mark |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | Human Resources Administrator |
| EMPLOYER POC ADDRESS 1 | 115 West Main Street |
| EMPLOYER POC ADDRESS 2 | Suite 400 |
| EMPLOYER POC CITY | Urbana |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12172395371 |
| EMPLOYER POC EMAIL | msherbeyn@appliedpavement.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Anaya |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY MIDDLE NAME | Ann |
| AGENT ATTORNEY ADDRESS1 | 101 West Tomaras Avenue |
| AGENT ATTORNEY CITY | Savoy |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 61874 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12176932952 |
| AGENT ATTORNEY EMAIL ADDRESS | laurenanayalaw@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Lauren A. Anaya |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 115 West Main Street |
| WORKSITE ADDRESS2 | Suite 400 |
| LCA CASE WORKLOC1 CITY | Urbana |
| WORKSITE COUNTY | CHAMPAIGN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61801 |
| LCA CASE WAGE RATE FROM | 63357 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 63357 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 and Employment |
