| LCA CASE NUMBER | I-200-20336-933228 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-12-01 |
| DECISION DATE | 2020-12-10 |
| ORIGINAL CERT DATE | 2020-12-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Quality Assurance |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-12-07 |
| END DATE | 2023-12-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | First Data Resources, LLC |
| EMPLOYER ADDRESS1 | Fiserv, Inc., 255 Fiserv Drive |
| EMPLOYER CITY | Brookfield |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53045 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12628795000 |
| NAICS CODE | 522320 |
| EMPLOYER POC LAST NAME | Gall |
| EMPLOYER POC FIRST NAME | Elizabeth |
| EMPLOYER POC JOB TITLE | Director, HR Operations, Global Mobility |
| EMPLOYER POC ADDRESS 1 | Fiserv, Inc. 255 Fiserv Drive |
| EMPLOYER POC CITY | Brookfield |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53045 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12628795000 |
| EMPLOYER POC EMAIL | globalmobility.corporatehr@fiserv.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | OLIVER |
| AGENT ATTORNEY FIRST NAME | BRENDA |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 1101 15TH STREET, NW |
| AGENT ATTORNEY ADDRESS2 | SUITE 700 |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20005 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12022235515 |
| AGENT ATTORNEY EMAIL ADDRESS | LCATeamPham@Fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6855 Pacific St |
| LCA CASE WORKLOC1 CITY | Omaha |
| WORKSITE COUNTY | DOUGLAS |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68106 |
| LCA CASE WAGE RATE FROM | 89860 |
| LCA CASE WAGE RATE TO | 110400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89860 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | WILLIS TOWERS WATSON DATA SERVICES |
| PW SURVEY NAME | 2020 GENERAL INDUSTRY MMPS COMPENSATION SURVEY - U.S. (TAC) |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Waters |
| PREPARER FIRST NAME | Benjamin |
| PREPARER MIDDLE INITIAL | N |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | LCATeamPham@fragomen.com |
