| LCA CASE NUMBER | I-200-21032-045324 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-01 |
| DECISION DATE | 2021-02-08 |
| 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 | 2021-02-02 |
| END DATE | 2024-02-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Wellfleet Group, LLC |
| EMPLOYER ADDRESS1 | 1500 Main Street |
| EMPLOYER ADDRESS2 | Suite 1000 |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1115 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18006337867 |
| NAICS CODE | 52421 |
| EMPLOYER POC LAST NAME | Coughlin |
| EMPLOYER POC FIRST NAME | Patricia |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | P.O. Box 15369 |
| EMPLOYER POC CITY | Springfield |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01115 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18006337867 |
| EMPLOYER POC PHONE EXT | 120 |
| EMPLOYER POC EMAIL | pcoughlin@wellfleetinsurance.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hershenson |
| AGENT ATTORNEY FIRST NAME | Scott |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 500 W Cypress Creek Rd |
| AGENT ATTORNEY ADDRESS2 | Suite 650 |
| AGENT ATTORNEY CITY | Ft Lauderdale |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19545660377 |
| AGENT ATTORNEY EMAIL ADDRESS | scott@polatsek.law |
| LAWFIRM NAME BUSINESS NAME | Harry D Polatsek, P.A. |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1124 Grove Blvd |
| LCA CASE WORKLOC1 CITY | Florence |
| WORKSITE COUNTY | FLORENCE |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29501 |
| LCA CASE WAGE RATE FROM | 73500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 66706 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Hershenson |
| PREPARER FIRST NAME | Scott |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Harry D Polatsek PA |
| PREPARER EMAIL | scott@polatsek.law |
