| LCA CASE NUMBER | I-200-21270-607882 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-27 |
| DECISION DATE | 2021-10-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | QA Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-02-13 |
| END DATE | 2025-02-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Blue Line Foodservice Distribution, Inc. |
| EMPLOYER ADDRESS1 | 2211 Woodward Ave |
| EMPLOYER CITY | Detroit |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13137253942 |
| NAICS CODE | 311999 |
| EMPLOYER POC LAST NAME | Ambrosia |
| EMPLOYER POC FIRST NAME | Jeffrey |
| EMPLOYER POC MIDDLE NAME | L. |
| EMPLOYER POC JOB TITLE | Human Resources Business Partner |
| EMPLOYER POC ADDRESS1 | 2211 Woodward Ave |
| EMPLOYER POC CITY | Detroit |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13137253942 |
| EMPLOYER POC EMAIL | Jeff.Ambrosia@LCEcorp.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bileti |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 660 Woodward Avenue |
| AGENT ATTORNEY ADDRESS2 | Ste. 2290 |
| AGENT ATTORNEY CITY | Detroit |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48226 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13134657356 |
| AGENT ATTORNEY EMAIL ADDRESS | sbileti@honigman.com |
| LAWFIRM NAME BUSINESS NAME | Honigman LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2125 Woodward Avenue |
| LCA CASE WORKLOC1 CITY | Detroit |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48201 |
| LCA CASE WAGE RATE FROM | 97743 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 83554 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bileti |
| PREPARER FIRST NAME | Sarah |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Honigman LLP |
| PREPARER EMAIL | sbileti@honigman.com |
