| CASE NUMBER | I-200-24179-155521 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/27/2024 |
| DECISION DATE | 7/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Mechatronics Engineer |
| SOC CODE | 17-2199.05 |
| SOC TITLE | Mechatronics Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2024 |
| END DATE | 9/30/2026 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Technical Services Group LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3615 Voorde Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | South Bend |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46628 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +15742882100 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541614 |
| EMPLOYER POC LAST NAME | Robison |
| EMPLOYER POC FIRST NAME | Paige |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | General Manager |
| EMPLOYER POC ADDRESS1 | 3615 Voorde Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | South Bend |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46628 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +15742882100 |
| EMPLOYER POC PHONE EXT | 207 |
| EMPLOYER POC EMAIL | paige.robison@psimp.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Welch |
| AGENT ATTORNEY FIRST NAME | Lidiya |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 630 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12158853600 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lidiya@goldblumfirm.com |
| LAWFIRM NAME BUSINESS NAME | Goldblum, Pollins & Dennis, P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3615 Voorde Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | South Bend |
| WORKSITE COUNTY | ST JOSEPH |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 46628 |
| WAGE RATE OF PAY FROM | 80,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $90,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $56,264.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 5 |
| 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 | N/A |
| PREPARER FIRST NAME | N/A |
| PREPARER MIDDLE INITIAL | N/A |
| PREPARER BUSINESS NAME | Goldblum, Pollins & Dennis, P.C. |
| PREPARER EMAIL | N/A |
| BEGIN DATE CONVERTED | 2024-01-07 |
