| LCA CASE NUMBER | I-200-19281-075450 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-08 |
| DECISION DATE | 2019-10-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-08 |
| END DATE | 2022-10-07 |
| 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 | PRISM IT CORP |
| EMPLOYER ADDRESS1 | 4600 TOUCHTON RD, |
| EMPLOYER ADDRESS2 | STE 150 |
| EMPLOYER CITY | JACKSONVILLE |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32246 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16786662228 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | KONDA |
| EMPLOYER POC FIRST NAME | ANIL |
| EMPLOYER POC JOB TITLE | C O O |
| EMPLOYER POC ADDRESS1 | 4600 TOUCHTON RD, |
| EMPLOYER POC ADDRESS2 | STE 150 |
| EMPLOYER POC CITY | JACKSONVILLE |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32246 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16786662228 |
| EMPLOYER POC EMAIL | KAN@PRISM-IT.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | ILINDRA |
| AGENT ATTORNEY FIRST NAME | BHANU |
| AGENT ATTORNEY MIDDLE NAME | BABU |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 1114 |
| AGENT ATTORNEY CITY | HERNDON |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20170 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17034967722.0 |
| AGENT ATTORNEY EMAIL ADDRESS | BHANU@ILINDRALAWGROUP.COM |
| LAWFIRM NAME BUSINESS NAME | BBI LAW GROUP, P.C. |
|
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | THIRD APPELLATE COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Guidewell Group Inc ( Florida Blue) |
| WORKSITE ADDRESS1 | 4800 Deerwood Campus Parkway |
| LCA CASE WORKLOC1 CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32246 |
| LCA CASE WAGE RATE FROM | 73091.0 |
| LCA CASE WAGE RATE TO | 73100.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 73091.0 |
| 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 LAST NAME | ILINDRA |
| PREPARER FIRST NAME | BHANU |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | BBI LAW GROUP,P.C. |
| PREPARER EMAIL | BHANU@ILINDRALAWGROUP.COM |
