| LCA CASE NUMBER | I-200-21301-673856 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-28 |
| DECISION DATE | 2021-11-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Quality Control Manager |
| SOC CODE | 17-2141.00 |
| SOC TITLE | Mechanical Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-01 |
| END DATE | 2025-03-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Forum US, Inc. |
| EMPLOYER ADDRESS1 | 10344 Sam Houston Park Drive |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Houston |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77064 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12819492500 |
| NAICS CODE | 333132 |
| EMPLOYER POC LAST NAME | Griebe |
| EMPLOYER POC FIRST NAME | Karen |
| EMPLOYER POC MIDDLE NAME | L. |
| EMPLOYER POC JOB TITLE | Director, Compensation & Benefits |
| EMPLOYER POC ADDRESS1 | 10344 Sam Houston Park Drive |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Houston |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77064 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12819492500 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Thompson |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | 5444 Westheimer Road |
| AGENT ATTORNEY ADDRESS2 | Suite 1700 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77056 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17136259200 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Quan Law Group, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF TEXAS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 12735 Dairy Ashford Road |
| LCA CASE WORKLOC1 CITY | Stafford |
| WORKSITE COUNTY | FORT BEND |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77477 |
| LCA CASE WAGE RATE FROM | 113500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 106642 |
| 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 |
| PREPARER LAST NAME | Lewis |
| PREPARER FIRST NAME | Karla |
| PREPARER MIDDLE INITIAL | K. |
| PREPARER BUSINESS NAME | Quan Law Group, PLLC |
| PREPARER EMAIL | [email protected] |
