| LCA CASE NUMBER | I-200-20147-602167 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-26 |
| DECISION DATE | 2020-06-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Development Engineering, Tech Lead |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-06 |
| END DATE | 2023-09-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Fiserv Solutions, 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 | 518210 |
| EMPLOYER POC LAST NAME | Gall |
| EMPLOYER POC FIRST NAME | Elizabeth |
| EMPLOYER POC JOB TITLE | Manager, HR Operations, Global Mobility |
| EMPLOYER POC ADDRESS1 | 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 | Y |
| 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 | 12022235515.0 |
| 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 | Y |
| SECONDARY ENTITY BUSINESS NAME | Sapiens Americas Corporation |
| WORKSITE ADDRESS1 | 3701 Algonquin Road |
| WORKSITE ADDRESS2 | Suite 400 |
| LCA CASE WORKLOC1 CITY | Rolling Meadows |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60008 |
| LCA CASE WAGE RATE FROM | 113630.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 113630.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Solomon-McRoy |
| PREPARER FIRST NAME | Marissa |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | LCATeamPham@Fragomen.com |
