| LCA CASE NUMBER | I-200-21138-321359 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-05-18 |
| DECISION DATE | 2023-07-24 |
| ORIGINAL CERT DATE | 2021-05-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Tooling Engineer |
| SOC CODE | 17-2141.00 |
| SOC TITLE | Mechanical 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 | Shively Brothers, Inc. |
| EMPLOYER ADDRESS1 | 2919 South Grand Traverse Street |
| EMPLOYER CITY | Flint |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48507 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18102327401 |
| NAICS CODE | 423830 |
| EMPLOYER POC LAST NAME | Clarambeau |
| EMPLOYER POC FIRST NAME | Christopher |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 2919 South Grand Traverse Street |
| EMPLOYER POC CITY | Flint |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48507 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18102327401 |
| EMPLOYER POC EMAIL | megan.wickham@shivelybros.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hurst |
| AGENT ATTORNEY FIRST NAME | Krista |
| AGENT ATTORNEY ADDRESS1 | 31780 Telegraph Road |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Bingham Farms |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48025 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12485408019 |
| AGENT ATTORNEY EMAIL ADDRESS | khurst@fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | General Motors Corporation |
| WORKSITE ADDRESS1 | 1455 W. Alexis Rd. |
| LCA CASE WORKLOC1 CITY | Toledo |
| WORKSITE COUNTY | LUCAS |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43612 |
| LCA CASE WAGE RATE FROM | 27.05 |
| LCA CASE WAGE RATE TO | 32.45 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 25.93 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Fantozzi |
| PREPARER FIRST NAME | Tina |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Fisher & Phillips LLP |
| PREPARER EMAIL | tfantozzi@fisherphillips.com |
