| CASE NUMBER | I-200-24177-145922 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/25/2024 |
| DECISION DATE | 7/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Design Engineer |
| SOC CODE | 17-2141.00 |
| SOC TITLE | Mechanical Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/8/2024 |
| END DATE | 7/7/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Lippert Components, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3501 County Road 6 East |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Elkhart |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46514 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +15743127094 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 332313 |
| EMPLOYER POC LAST NAME | Riewe |
| EMPLOYER POC FIRST NAME | Jaycee |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP, Human Resources |
| EMPLOYER POC ADDRESS1 | 3501 County Road 6 East |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Elkhart |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46514 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17347650265 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jriewe@lci1.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Long |
| AGENT ATTORNEY FIRST NAME | Sari |
| AGENT ATTORNEY MIDDLE NAME | Michelle |
| AGENT ATTORNEY ADDRESS1 | 1144 15th Street |
| AGENT ATTORNEY ADDRESS2 | STE 3400 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +13036073637 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | sari.long@faegredrinker.com |
| LAWFIRM NAME BUSINESS NAME | Faegre Drinker Biddle & Reath LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | Colorado Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2703 College Ave. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Goshen |
| WORKSITE COUNTY | ELKHART |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 46528 |
| WAGE RATE OF PAY FROM | 95,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $140,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $89,856.00 |
| 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 | 2024-08-07 |
