| LCA CASE NUMBER | I-200-21028-039862 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-28 |
| DECISION DATE | 2021-02-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | QA Tester |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-28 |
| END DATE | 2023-08-21 |
| 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 | THE WELLSPRING GROUP, INC. |
| EMPLOYER ADDRESS1 | 4 RESEARCH DRIVE |
| EMPLOYER CITY | SHELTON |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6484 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18669310521 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | VINCELETTE |
| EMPLOYER POC FIRST NAME | BRIAN |
| EMPLOYER POC JOB TITLE | DIRECTOR OF OPERATIONS |
| EMPLOYER POC ADDRESS 1 | 4 RESEARCH DRIVE |
| EMPLOYER POC CITY | SHELTON |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06484 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18669310521 |
| EMPLOYER POC EMAIL | BRIAN@WELLSPRINGGRP.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kidambi |
| AGENT ATTORNEY FIRST NAME | Vaman |
| AGENT ATTORNEY ADDRESS1 | 140 Monroe Turnpike |
| AGENT ATTORNEY ADDRESS2 | A |
| AGENT ATTORNEY CITY | Trumbull |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6611 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12034165300 |
| AGENT ATTORNEY PHONE EXT | 104 |
| AGENT ATTORNEY EMAIL ADDRESS | LCA@KIDAMBI.COM |
| LAWFIRM NAME BUSINESS NAME | Kidambi & Associates, PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Massachusetts Executive Office of Education–IT |
| WORKSITE ADDRESS1 | 75 Pleasant St |
| LCA CASE WORKLOC1 CITY | Malden |
| WORKSITE COUNTY | MALDEN CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2148 |
| LCA CASE WAGE RATE FROM | 68 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 52.21 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kidambi |
| PREPARER FIRST NAME | Vaman |
| PREPARER BUSINESS NAME | Kidambi & Associates, P.C. |
| PREPARER EMAIL | LCA@kidambi.com |
