| LCA CASE NUMBER | I-200-20104-483760 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-13 |
| DECISION DATE | 2020-04-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dot Net Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Insource Tech LLC |
| EMPLOYER ADDRESS1 | 1 Marion Rd |
| EMPLOYER CITY | Westport |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6880 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15715519617 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Poovathany |
| EMPLOYER POC FIRST NAME | Mathew |
| EMPLOYER POC JOB TITLE | C.E.O |
| EMPLOYER POC ADDRESS1 | 1 Marion Rd |
| EMPLOYER POC CITY | Westport |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6880 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15715519617 |
| EMPLOYER POC EMAIL | teja@insourcetechsolutions.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@bbilawgroup.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 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | State of West Virginia- Dept of Health & Human Resources (DHHR) |
| WORKSITE ADDRESS1 | 321 Capitol Street |
| LCA CASE WORKLOC1 CITY | Charleston |
| WORKSITE COUNTY | KANAWHA |
| LCA CASE WORKLOC1 STATE | WV |
| WORKSITE POSTAL CODE | 25301 |
| LCA CASE WAGE RATE FROM | 30.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 28.93 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| 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@bbilawgroup.com |
