| LCA CASE NUMBER | I-200-18159-643108 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/14/18 |
| DECISION DATE | 6/20/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/25/18 |
| EMPLOYMENT END DATE | 6/24/21 |
| LCA CASE EMPLOYER NAME | PROVATION MEDICAL, INC. |
| EMPLOYER ADDRESS | 800 WASHINGTON AVENUE NE |
| EMPLOYER CITY | MINNEAPOLIS |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6123131500 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | LO, TZU-KAI |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | SOFTWARE ENGINEER |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAICS CODE | 541512 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 78,624.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 78,624.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | MINNEAPOLIS |
| WORKSITE COUNTY | HENNEPIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55401 |
