| LCA CASE NUMBER | I-200-21133-309821 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-13 |
| DECISION DATE | 2021-05-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Automation Engineer |
| SOC CODE | 17-2199.04 |
| SOC TITLE | Manufacturing 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 | Don Evans Inc. |
| TRADE NAME DBA | D/B/A EVCO Plastics |
| EMPLOYER ADDRESS1 | 100 W. North Street |
| EMPLOYER CITY | DeForest |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53532 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18005076000 |
| NAICS CODE | 32619 |
| EMPLOYER POC LAST NAME | Fortier |
| EMPLOYER POC FIRST NAME | Gary |
| EMPLOYER POC JOB TITLE | Director of US Operations |
| EMPLOYER POC ADDRESS 1 | 100 W. North Street |
| EMPLOYER POC CITY | DeForest |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53532 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16088466074 |
| EMPLOYER POC EMAIL | GARY_F@EVCOPLASTICS.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 | KMFORTIER@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 | 100 W. North Street |
| LCA CASE WORKLOC1 CITY | DeForest |
| WORKSITE COUNTY | DANE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53532 |
| LCA CASE WAGE RATE FROM | 63500 |
| LCA CASE WAGE RATE TO | 68500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 63066 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Gardner |
| PREPARER FIRST NAME | Heather |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Michael Best & Friedrich LLP |
| PREPARER EMAIL | hlgardner@michaelbest.com |
