| LCA CASE NUMBER | I-200-21295-663672 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-22 |
| DECISION DATE | 2021-10-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Engineer - KBGFJG169387-1 |
| SOC CODE | 17-2112.00 |
| SOC TITLE | Industrial Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-29 |
| END DATE | 2024-11-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Phillips-Medisize, LLC |
| EMPLOYER ADDRESS1 | 1201 Hanley Road |
| EMPLOYER CITY | Hudson |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54016 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13168287380 |
| NAICS CODE | 339112 |
| EMPLOYER POC LAST NAME | McClung |
| EMPLOYER POC FIRST NAME | Shannon Anne |
| EMPLOYER POC JOB TITLE | Immigration Specialist |
| EMPLOYER POC ADDRESS1 | 4111 E. 37th Street N |
| EMPLOYER POC CITY | Wichita |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67220 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13168287380 |
| EMPLOYER POC EMAIL | Shannon.McClung@kochps.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sathe |
| AGENT ATTORNEY FIRST NAME | Mrudula |
| AGENT ATTORNEY ADDRESS1 | 100 Adelaide Street West |
| AGENT ATTORNEY ADDRESS2 | Floor 31 |
| AGENT ATTORNEY CITY | Toronto |
| AGENT ATTORNEY POSTAL CODE | M5H0B3 |
| AGENT ATTORNEY COUNTRY | CANADA |
| AGENT ATTORNEY PROVINCE | Ontario |
| AGENT ATTORNEY PHONE | 14169435209 |
| AGENT ATTORNEY EMAIL ADDRESS | certified.lca@ca.ey.com |
| LAWFIRM NAME BUSINESS NAME | EY Law LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 428 Technology Drive East |
| LCA CASE WORKLOC1 CITY | Menomonie |
| WORKSITE COUNTY | DUNN |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54751 |
| LCA CASE WAGE RATE FROM | 95000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 65354 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Newman |
| PREPARER FIRST NAME | Braeden |
| PREPARER BUSINESS NAME | EY Law LLP |
| PREPARER EMAIL | Braeden.Newman@ca.ey.com |
