| CASE NUMBER | I-200-24164-100499 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 6/12/2024 |
| DECISION DATE | 9/18/2024 |
| ORIGINAL CERT DATE | 6/20/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | Quality Manager |
| SOC CODE | 17-2112.00 |
| SOC TITLE | Industrial Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Cooper Standard Automotive Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 40300 Traditions Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Northville |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48168 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12480549970 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 3363 |
| EMPLOYER POC LAST NAME | Lee |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Global Mobility Manager |
| EMPLOYER POC ADDRESS1 | 40300 Traditions Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Northville |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48168 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12485966061 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Susan.Lee@cooperstandard.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | FISHER |
| AGENT ATTORNEY FIRST NAME | DANIEL |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 755 W. BIG BEAVER RD |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | TROY |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12486495404 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | thayna.smith@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN DEL REY BERNSEN & LOEWY LLP |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | FLORIDA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2378 State Route 345 NE |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | New Lexington |
| WORKSITE COUNTY | PERRY |
| WORKSITE STATE | OH |
| WORKSITE POSTAL CODE | 43764 |
| WAGE RATE OF PAY FROM | 135,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $111,696.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-10 |
