| CASE NUMBER | I-200-24138-008973 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/17/2024 |
| DECISION DATE | 5/24/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Data Engineer |
| SOC CODE | 15-1211.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 6/1/2024 |
| END DATE | 5/31/2027 |
| 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 | 111 Industries, Inc |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 750 Tower Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Troy |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48098 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19057997328 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 3363 |
| EMPLOYER POC LAST NAME | Baccellieri |
| EMPLOYER POC FIRST NAME | Mike |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | Executive Vice President, Finance |
| EMPLOYER POC ADDRESS1 | 750 Tower Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Troy |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48098 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19057997328 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mike.baccellieri@magna.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | LEVASSEUR |
| AGENT ATTORNEY FIRST NAME | Elise |
| AGENT ATTORNEY MIDDLE NAME | Suzanne |
| AGENT ATTORNEY ADDRESS1 | 2600 West Big Beaver Road |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| 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 | 12484337520 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | ELevasseur@dickinsonwright.com |
| LAWFIRM NAME BUSINESS NAME | Dickinson Wright PLLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 750 Tower Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Troy |
| WORKSITE COUNTY | OAKLAND |
| WORKSITE STATE | MI |
| WORKSITE POSTAL CODE | 48098 |
| WAGE RATE OF PAY FROM | 110512.2 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $110,302.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-06 |
