| LCA CASE NUMBER | I-200-21331-727422 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-26 |
| DECISION DATE | 2021-12-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Food Safety Manager |
| SOC CODE | 19-1012.00 |
| SOC TITLE | Food Scientists and Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-26 |
| END DATE | 2024-11-25 |
| 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 | Tier 1 Nutritionals, Inc. |
| EMPLOYER ADDRESS1 | 1040 Lumberman's Trail |
| EMPLOYER CITY | Madison |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53716 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16082220608 |
| NAICS CODE | 311119 |
| EMPLOYER POC LAST NAME | Jacobson |
| EMPLOYER POC FIRST NAME | Timothy |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 1040 Lumberman's Trail |
| EMPLOYER POC CITY | Madison |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53716 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16082220608 |
| EMPLOYER POC EMAIL | tjacobson@tier1nutritionals.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ploor |
| AGENT ATTORNEY FIRST NAME | Pamela |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 1200 N. Mayfair Road |
| AGENT ATTORNEY ADDRESS2 | Suite 430 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53226-3282 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14149822854 |
| AGENT ATTORNEY EMAIL ADDRESS | pploor@staffordlaw.com |
| LAWFIRM NAME BUSINESS NAME | Stafford Rosenbaum LLP |
| STATE OF HIGHEST COURT | WI |
|
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1040 Lumberman's Trail |
| LCA CASE WORKLOC1 CITY | Madison |
| WORKSITE COUNTY | DANE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53716 |
| LCA CASE WAGE RATE FROM | 66000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 65437 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 and Employment |
| PREPARER LAST NAME | Ploor |
| PREPARER FIRST NAME | Pamela |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Stafford Rosenbaum LLP |
| PREPARER EMAIL | pploor@staffordlaw.com |
