| LCA CASE NUMBER | I-200-20222-758778 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-09 |
| DECISION DATE | 2020-08-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | WEB DEVELOPER III |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-02-05 |
| END DATE | 2024-02-04 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | BEACON HEALTH OPTIONS |
| EMPLOYER ADDRESS1 | 200 State Street |
| EMPLOYER ADDRESS2 | Suite 302 |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02109 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18577707902 |
| NAICS CODE | 621999 |
| EMPLOYER POC LAST NAME | Molina |
| EMPLOYER POC FIRST NAME | Herberth |
| EMPLOYER POC JOB TITLE | HR Specialist |
| EMPLOYER POC ADDRESS1 | 200 State Street |
| EMPLOYER POC ADDRESS2 | Suite 302 |
| EMPLOYER POC CITY | Boston |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02109 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18577707902 |
| EMPLOYER POC EMAIL | herberth.molina@beaconhealthoptions.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | OKEEFE |
| AGENT ATTORNEY FIRST NAME | JAMES |
| AGENT ATTORNEY ADDRESS1 | ONE MONUMENT WAY |
| AGENT ATTORNEY ADDRESS2 | SECOND FLOOR |
| AGENT ATTORNEY CITY | PORTLAND |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 04101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12078710099.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jokeefe@immigration-group.com |
| LAWFIRM NAME BUSINESS NAME | IMMIGRATION LAW GROUP LLC |
| STATE OF HIGHEST COURT | ME |
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 22001 Loudoun County Parkway |
| LCA CASE WORKLOC1 CITY | Ashburn |
| WORKSITE COUNTY | LOUDOUN |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 20147 |
| LCA CASE WAGE RATE FROM | 121916.7 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 118102.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
