| LCA CASE NUMBER | I-200-20234-781652 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-21 |
| DECISION DATE | 2020-08-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PeopleSoft Configuration Specialist |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-12-11 |
| END DATE | 2023-12-10 |
| 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 | POULOMI TECHNOLOGIES, INC. |
| EMPLOYER ADDRESS1 | BRIER HILL COURT |
| EMPLOYER ADDRESS2 | BUILDING C, SUITE 207 |
| EMPLOYER CITY | EAST BRUNSWICK |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 08816 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17326473972 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | THADAKAMADLA |
| EMPLOYER POC FIRST NAME | MAHIPAL |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | BRIER HILL COURT |
| EMPLOYER POC ADDRESS2 | BUILDING C, SUITE 207 |
| EMPLOYER POC CITY | EAST BRUNSWICK |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 08816 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17326473972 |
| EMPLOYER POC EMAIL | MAHIPAL@POULOMISOLUTIONS.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Tadmor |
| AGENT ATTORNEY FIRST NAME | Yoav |
| AGENT ATTORNEY ADDRESS1 | 340 Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 610 |
| AGENT ATTORNEY CITY | Worcester |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 01608 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15087919400.0 |
| AGENT ATTORNEY EMAIL ADDRESS | yoav@tadmorlaw.com |
| LAWFIRM NAME BUSINESS NAME | Tadmor & Tadmor LLP |
|
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | New York City Health and Hospitals Corp. |
| WORKSITE ADDRESS1 | 55 Water Street |
| LCA CASE WORKLOC1 CITY | New York City |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10041 |
| LCA CASE WAGE RATE FROM | 122221.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122221.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | Y |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | Y |
| STATUTORY BASIS | WAGE |
| PUBLIC DISCLOSURE | Disclose Business |
