| LCA CASE NUMBER | I-200-23040-763170 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-02-09 |
| DECISION DATE | 2023-02-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Millinery Assistant |
| SOC CODE | 27-1013.00 |
| SOC TITLE | Fine Artists, Including Painters, Sculptors, and Illustrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Forme Millinery Co. Inc. |
| TRADE NAME DBA | Forme Millinery Co. Inc. |
| EMPLOYER ADDRESS1 | 1009 E. Main St. |
| EMPLOYER CITY | Louisville |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 40206 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17737197307 |
| NAICS CODE | 424330 |
| EMPLOYER POC LAST NAME | Pfanenstiel |
| EMPLOYER POC FIRST NAME | Jenny |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 1009 E. Main St. |
| EMPLOYER POC CITY | Louisville |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 40206 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17737197307 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1009 E. Main St. |
| LCA CASE WORKLOC1 CITY | Louisville |
| WORKSITE COUNTY | JEFFERSON |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 40206 |
| LCA CASE WAGE RATE FROM | 1600 |
| LCA CASE WAGE RATE TO | 1800 |
| LCA CASE WAGE RATE UNIT | Month |
| PREVAILING WAGE | 1556.53 |
| PW UNIT OF PAY | Month |
| 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 |
| PREPARER LAST NAME | Pfanenstiel |
| PREPARER FIRST NAME | Jenny |
| PREPARER BUSINESS NAME | Forme Millinery Co. Inc. |
| PREPARER EMAIL | [email protected] |