| LCA CASE NUMBER | I-200-20157-630244 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-05 |
| DECISION DATE | 2020-06-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IPS Designer I, Orthognathic |
| SOC CODE | 27-1021.00 |
| SOC TITLE | Commercial and Industrial Designers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-10-01 |
| 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 | KLS Martin Manufacturing LLC |
| EMPLOYER ADDRESS1 | 11228 St Johns Industrial Pkwy S |
| EMPLOYER CITY | Jacksonville |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32246 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19046417746 |
| NAICS CODE | 33911 |
| EMPLOYER POC LAST NAME | Patel |
| EMPLOYER POC FIRST NAME | Tirth |
| EMPLOYER POC JOB TITLE | General Manager |
| EMPLOYER POC ADDRESS1 | 11228 St Johns Industrial Pkwy S |
| EMPLOYER POC CITY | Jacksonville |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32246 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19046417746 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Bergmar |
| AGENT ATTORNEY FIRST NAME | Nina Maja |
| AGENT ATTORNEY ADDRESS1 | 171 17th Street NW |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30363 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14046854251.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Burr & Forman LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Georgia Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 11228 St Johns Industrial Pkwy S |
| LCA CASE WORKLOC1 CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32246 |
| LCA CASE WAGE RATE FROM | 21.18 |
| LCA CASE WAGE RATE TO | 22.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 21.18 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
