| LCA CASE NUMBER | I-200-21028-041126 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-28 |
| DECISION DATE | 2021-02-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Electrical Engineer |
| SOC CODE | 17-2071.00 |
| SOC TITLE | Electrical Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-15 |
| END DATE | 2023-09-30 |
| 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 | American Health Formulations, Inc. |
| EMPLOYER ADDRESS1 | 45 Adams Ave |
| EMPLOYER CITY | Hauppauge |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11788 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16316703646 |
| NAICS CODE | 325412 |
| EMPLOYER POC LAST NAME | Wang |
| EMPLOYER POC FIRST NAME | Jimmy |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 45 Adams Ave |
| EMPLOYER POC CITY | Hauppauge |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11788 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16316703646 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pan |
| AGENT ATTORNEY FIRST NAME | Jiali |
| AGENT ATTORNEY ADDRESS1 | 136-20 38th Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 9A |
| AGENT ATTORNEY CITY | Flushing |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11354 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17183958299 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Jiali Pan & Associates, PLLC. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 45 Adams Ave |
| LCA CASE WORKLOC1 CITY | Hauppauge |
| WORKSITE COUNTY | SUFFOLK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11788 |
| LCA CASE WAGE RATE FROM | 110000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 95368 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pan |
| PREPARER FIRST NAME | Jiali |
| PREPARER BUSINESS NAME | Law Offices of Jiali Pan & Associates, PLLC. |
| PREPARER EMAIL | [email protected] |
