| LCA CASE NUMBER | I-200-21237-545747 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-25 |
| DECISION DATE | 2021-09-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff 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 | Bloom Companies, LLC |
| EMPLOYER ADDRESS1 | 10501 W. Research Drive |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Milwaukee |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14147713390 |
| NAICS CODE | 541330 |
| EMPLOYER POC LAST NAME | Tharaniyil |
| EMPLOYER POC FIRST NAME | Mathew |
| EMPLOYER POC MIDDLE NAME | P |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 10501 W. Research Drive |
| EMPLOYER POC ADDRESS2 | Suite 100 |
| EMPLOYER POC CITY | Milwaukee |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14147713390 |
| EMPLOYER POC EMAIL | mtharaniyil@bloomcos.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Anderson-Stepanek |
| AGENT ATTORNEY FIRST NAME | Laureen |
| AGENT ATTORNEY ADDRESS1 | 7120 W. Higgins Ave |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60656 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17736573633 |
| AGENT ATTORNEY EMAIL ADDRESS | laureen@kaimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Katsivalis & Anderson Law, LLC |
|
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 150 N. Wacker Dr. |
| WORKSITE ADDRESS2 | Suite 1650 |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60606 |
| LCA CASE WAGE RATE FROM | 57054 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 57054 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Anderson-Stepanek |
| PREPARER FIRST NAME | Laureen |
| PREPARER BUSINESS NAME | Katsivalis & Anderson Law |
| PREPARER EMAIL | laureen@kaimmigrationlaw.com |
