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Case Number
I-200-19058-363542
1. Indicate the type of visa classification supported by this application (Write classification symbol):
H-1B
1. Job Title
Regulatory Affairs Specialist, Product Surveillance
2. SOC (ONET/OES) code
13-1041
3. SOC (ONET/OES) occupation title
Compliance Officers
4. Is this a full-time position?
Yes
Period of Intended Employment
5. Begin Date (mm/dd/yyyy)
8/27/2019 12:00:00 AM
6. End Date (mm/dd/yyyy)
8/26/2022 12:00:00 AM
7. Worker positions needed/basis for the visa classification supported by this application
Total Worker Positions Being Requested for Certification
1
1. Legal business name
Zimmer, Inc.
2. Trade name/Doing Business As (DBA), if applicable
3. Address 1
56 East Bell Drive
10. Telephone number
574-372-6626
12. Federal Employer Identification Number (FEIN from IRS)
13. NAICS code (must be at least 4-digits)
339112
Important Note: The information contained in this Section must be that of an employee of the employer who is authorized to act on behalf of
the employer in labor certification matters. The information in this Section must be different from the agent or attorney information listed in
Section E, unless the attorney is an employee of the employer.
1. Contact's last (family) name
Dominique
2. First (given) name
Tamra
4. Contact's job title
Immigration And Relocation Sr. Specialist
5. Address 1
56 East Bell Drive
12. Telephone number
574-372-6626
14. E-Mail address
Tamra.dominique@zimmerbiomet.com
1. Is the employer represented by an attorney or agent in the filing of this application? If "Yes", complete the remainder of Section E below.
2. Attorney or Agent's last (family) name
Ruby
3. First (given) name
JAY
4. Middle name(s)
Campbell
5. Address 1
600 Peachtree Street Ne Suite 4200
9. Postal code
30308-2219
12. Telephone number
4048565558
14. E-Mail address
Jruby@fragomen.com
15. Law firm/Business name
Fragomen, Del Rey, Bernsen & Loewy Llp
16. Law firm/Business FEIN
17. State Bar number (only if attorney)
GA618702
18. State of highest court where attorney is in good standing (only if attorney)
Georgia
19. Name of the highest court where attorney is in good standing (only if attorney)
United States Supreme Court
1. Wage Rate (Required)
From: $
65,000.00
To: $
0.00
2. Per: (Choose only one)
Year
1. Address 1
56 E Bell Drive
5. State/District/Territory
IN
7. Agency which issued prevailing wage
7a. Prevailing wage tracking number (if applicable)
8. Wage level
II
9. Prevailing wage
$ 48,547.00
10. Per: (Choose only one)
11. Prevailing wage source (Choose only one)
11a. Year source published
2019
11b. If "OES", and SWA/NPC did not issue prevailing wage OR "Other" in question 11, specify source
1. Is the employer H-1B dependent?
No
2. Is the employer a willful violator?No
3. If "Yes" is marked in questions I.1 and/or I.2, you must answer "Yes" or "No" regarding whether the
employer will use this application ONLY to support H-1B petitions or extensions of status for exempt H-1B
nonimmigrants?
If you marked "Yes" to questions I.1 and/or I.2 and "No" to question I.3, you MUST read Section I - Subsection 2 of the Labor
Condition Application - General Instructions Form ETA 9035CP under the heading "Additional Employer Labor Condition
Statements" and indicate your agreement to all three (3) additional statements summarized below.
- Displacement: Non-displacement of the U.S. workers in the employer's workforce
- Secondary Displacement: Non-displacement of U.S. workers in another employer's workforce; and
- Recruitment and Hiring: Recruitment of U.S. workers and hiring of U.S. workers applicant(s) who are equally or better qualified than the H-1B nonimmigrant(s).
4. I have read and agree to Additional Employer Labor Condition Statements A, B, and C above and as fully explained in Section I - Subsections 1 and 2 of the Labor Condition Application - General Instructions Form ETA 9035CP.
- Yes
- No
1. Last (family) name of hiring or designated official
Dominique
2. First (given) name of hiring or designated official
Tamra
4. Hiring or designated official title
Immigration And Relocation Senior Specialist
By virtue of the signature below, the Department of Labor hereby acknowledges the following:
This certification is valid
From 8/27/2019 12:00:00 AM
To 8/26/2022 12:00:00 AM
Department of Labor, Office of Foreign Labor Certification
Determination Date (date signed)
Case Number
I-200-19058-363542
The Department of Labor is not the guarantor of the accuracy, truthfulness, or adequacy of a certified LCA.
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