| LCA CASE NUMBER | I-200-21313-693604 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-08 |
| DECISION DATE | 2021-11-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Executive Officer |
| SOC CODE | 11-1011.00 |
| SOC TITLE | Chief Executives |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-01 |
| END DATE | 2024-11-30 |
| 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 | ModuleMD, LLC |
| EMPLOYER ADDRESS1 | 8359 Office Park Drive |
| EMPLOYER CITY | Grand Blanc |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48439 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12484340444 |
| EMPLOYER PHONE EXT | 1004 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Williams |
| EMPLOYER POC FIRST NAME | Lloyd |
| EMPLOYER POC MIDDLE NAME | Raymond |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 8359 Office Park Drive |
| EMPLOYER POC CITY | Grand Blanc |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48439 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12484340444 |
| EMPLOYER POC PHONE EXT | 1004 |
| EMPLOYER POC EMAIL | Lloyd.williams@modulemd.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Nieto |
| AGENT ATTORNEY FIRST NAME | Pamela |
| AGENT ATTORNEY MIDDLE NAME | Doss |
| AGENT ATTORNEY ADDRESS1 | 811 Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77002 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17136461372 |
| AGENT ATTORNEY EMAIL ADDRESS | pnieto@bakerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Baker and Hostetler LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8359 Office Park Drive |
| LCA CASE WORKLOC1 CITY | Grand Blanc |
| WORKSITE COUNTY | GENESEE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48439 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE TO | 106 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| 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 |
