| LCA CASE NUMBER | I-200-20076-409817 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-03-16 |
| DECISION DATE | 2021-04-16 |
| ORIGINAL CERT DATE | 2020-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-03-23 |
| END DATE | 2023-03-22 |
| 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 | Resourcesys, Inc. |
| EMPLOYER ADDRESS1 | 10294A BALTIMORE NATIONAL PIKE |
| EMPLOYER CITY | Ellicott City |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21042 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14109885347 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Kolluri |
| EMPLOYER POC FIRST NAME | Anna |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 10294A BALTIMORE NATIONAL PIKE |
| EMPLOYER POC CITY | Ellicott City |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21042 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14109885347 |
| EMPLOYER POC EMAIL | anna@resourcesys.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Vag |
| AGENT ATTORNEY FIRST NAME | Andrea |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 426 MAIN STREET |
| AGENT ATTORNEY ADDRESS2 | #389 |
| AGENT ATTORNEY CITY | SPOTSWOOD |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8884 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17322332149 |
| AGENT ATTORNEY EMAIL ADDRESS | avag@vaglaw.com |
| LAWFIRM NAME BUSINESS NAME | Vag Law LLC |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Premera Blue Cross |
| WORKSITE ADDRESS1 | 7001 220th St. SW |
| WORKSITE ADDRESS2 | Bldg 4 |
| LCA CASE WORKLOC1 CITY | Mountlake |
| WORKSITE COUNTY | SNOHOMISH |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98043 |
| LCA CASE WAGE RATE FROM | 113381 |
| LCA CASE WAGE RATE TO | 133598 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 113381 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | $60,000 or higher annual wage |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Rakvica |
| PREPARER FIRST NAME | Carrie |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Vag Law LLC |
| PREPARER EMAIL | carrie@vaglaw.com |
