| LCA CASE NUMBER | I-200-23079-861010 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-20 |
| DECISION DATE | 2023-03-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Control Supervisor |
| SOC CODE | 11-3051.01 |
| SOC TITLE | Quality Control Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-19 |
| END DATE | 2026-09-18 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Formulated Solutions, LLC |
| EMPLOYER ADDRESS1 | 11775 Starkey Road |
| EMPLOYER CITY | Largo |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33773 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17273733972 |
| NAICS CODE | 3254 |
| EMPLOYER POC LAST NAME | Luther |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | VP, Human Resources |
| EMPLOYER POC ADDRESS1 | 11775 Starkey Road |
| EMPLOYER POC CITY | Largo |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33773 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17273733972 |
| EMPLOYER POC PHONE EXT | 316 |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Santos |
| AGENT ATTORNEY FIRST NAME | Solimar |
| AGENT ATTORNEY ADDRESS1 | 201 S Biscayne Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 800 |
| AGENT ATTORNEY CITY | Miami |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13059873905 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Solimar Santos, P.A. |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11775 Starkey Road |
| LCA CASE WORKLOC1 CITY | Largo |
| WORKSITE COUNTY | PINELLAS |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33773 |
| LCA CASE WAGE RATE FROM | 77250 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 61610 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
