| LCA CASE NUMBER | I-200-19327-164086 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-11-22 |
| DECISION DATE | 2020-02-27 |
| ORIGINAL CERT DATE | 2019-12-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Identity & Access Management Engineer |
| SOC CODE | 15-1142.00 |
| SOC TITLE | Network and Computer Systems Administrators |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-29 |
| END DATE | 2020-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | 21 STAFF LLC |
| EMPLOYER ADDRESS1 | 5980 Stoneridge dr, Suite 103 |
| EMPLOYER CITY | PLEASANTON |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94588 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15102985020 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | PONUGOTI |
| EMPLOYER POC FIRST NAME | SREEJA |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 5980 STONERIDGE DR, SUITE 103 |
| EMPLOYER POC CITY | PLEASANTON |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94588 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19254259641 |
| EMPLOYER POC EMAIL | IMMIGRATION@21STAFF.COM |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Excellus BlueCross BlueShield |
| WORKSITE ADDRESS1 | 165 Court St, |
| LCA CASE WORKLOC1 CITY | ROCHESTER |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14647 |
| LCA CASE WAGE RATE FROM | 74000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 68994.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | Y |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | Y |
| STATUTORY BASIS | BOTH |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | 21 STAFF LLC |
