| CASE NUMBER | I-200-24179-153661 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/27/2024 |
| DECISION DATE | 7/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | OBD Calibration Engineer |
| SOC CODE | 17-2141.00 |
| SOC TITLE | Mechanical Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | PACCAR Inc |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 777 106th Ave NE |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Bellevue |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98004 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14254687400 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 333924 |
| EMPLOYER POC LAST NAME | Ranieri |
| EMPLOYER POC FIRST NAME | Kathryn |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Corporate Counsel, Labor & Employment |
| EMPLOYER POC ADDRESS1 | 777 106th Avenue NE |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Bellevue |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98004 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14254687400 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Corp.Law.Immigration@PACCAR.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Gittleman |
| AGENT ATTORNEY FIRST NAME | Felicia |
| AGENT ATTORNEY MIDDLE NAME | Lani |
| AGENT ATTORNEY ADDRESS1 | 1000 2nd Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 1620 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12068769751 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | fgittleman@cmlseattle.com |
| LAWFIRM NAME BUSINESS NAME | Cowan Miller & Lederman |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 12479 Farm to Market Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Mt. Vernon |
| WORKSITE COUNTY | SKAGIT |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98273 |
| WAGE RATE OF PAY FROM | 95,368.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $131,700.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $87,880.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | Scarcia |
| PREPARER FIRST NAME | Judith |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Cowan, Miller, and Lederman |
| PREPARER EMAIL | jscarcia@cmlseattle.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
