| LCA CASE NUMBER | I-200-21166-397614 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-15 |
| DECISION DATE | 2021-06-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Electrical Engineer |
| SOC CODE | 17-2071.00 |
| SOC TITLE | Electrical Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Forest River, Inc. |
| EMPLOYER ADDRESS1 | 900 County Road 1 |
| EMPLOYER CITY | Elkhart |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46514 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15743894600 |
| NAICS CODE | 336120 |
| EMPLOYER POC LAST NAME | Philburn |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC MIDDLE NAME | Gail |
| EMPLOYER POC JOB TITLE | Human Resource Generalist |
| EMPLOYER POC ADDRESS 1 | 331 Graham Rd |
| EMPLOYER POC CITY | Imlay City |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48444 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18107217930 |
| EMPLOYER POC EMAIL | jphilburn@forestriverinc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Snead |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY MIDDLE NAME | Melinda |
| AGENT ATTORNEY ADDRESS1 | 425 Walnut Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1800 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133578794 |
| AGENT ATTORNEY EMAIL ADDRESS | jsnead@taftlaw.com |
| LAWFIRM NAME BUSINESS NAME | Taft Stettinius & Hollister LLP |
|
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Ohio Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 331 Graham Rd |
| LCA CASE WORKLOC1 CITY | Imlay City |
| WORKSITE COUNTY | LAPEER |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48444 |
| LCA CASE WAGE RATE FROM | 67933 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 67933 |
| 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 |
