| CASE NUMBER | I-200-24149-040687 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 5/28/2024 |
| DECISION DATE | 7/2/2024 |
| ORIGINAL CERT DATE | 6/4/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | Product Design Engineer |
| SOC CODE | 17-2141.00 |
| SOC TITLE | Mechanical Engineers |
| FULL TIME POSITION | N |
| 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 | Artifex Enterprises LLC |
| TRADE NAME DBA | Custom Millwork & Display |
| EMPLOYER ADDRESS1 | 2102 W. Washington St. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | South Bend |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46628 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +15742894000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 337212 |
| EMPLOYER POC LAST NAME | Madvig |
| EMPLOYER POC FIRST NAME | Kurt |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 2102 W. Washington St. |
| 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 | +15742894000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | kmadvig@builtbycmd.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Durham |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | E. |
| AGENT ATTORNEY ADDRESS1 | 201 S. Main St. |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | South Bend |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +15742371145 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mdurham@btlaw.com |
| LAWFIRM NAME BUSINESS NAME | Barnes & Thornburg LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2102 W. Washington St. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | South Bend |
| WORKSITE COUNTY | ST JOSEPH |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 46628 |
| WAGE RATE OF PAY FROM | 63,357.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $63,357.00 |
| 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 | 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 |
