| LCA CASE NUMBER | I-200-21091-190323 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-01 |
| DECISION DATE | 2021-04-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Business Systems Manager |
| SOC CODE | 15-1199.00 |
| SOC TITLE | Computer Occupations, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-28 |
| END DATE | 2024-05-27 |
| 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 | Empyrean Benefit Solutions, Inc. |
| EMPLOYER ADDRESS1 | 3010 Briarpark Drive |
| EMPLOYER ADDRESS2 | Suite 8000 |
| EMPLOYER CITY | Houston |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77042 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18327307500 |
| NAICS CODE | 518210 |
| EMPLOYER POC LAST NAME | Campbell |
| EMPLOYER POC FIRST NAME | Stephen |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS 1 | 3010 Briarpark Drive |
| EMPLOYER POC ADDRESS 2 | Suite 8000 |
| EMPLOYER POC CITY | Houston |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77042 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18327307505 |
| EMPLOYER POC EMAIL | scampbell@empyreanbenefits.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Maglich |
| AGENT ATTORNEY FIRST NAME | Marko |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726889 |
| AGENT ATTORNEY EMAIL ADDRESS | marko.maglich@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3010 Briarpark Drive |
| WORKSITE ADDRESS2 | Suite 8000 |
| LCA CASE WORKLOC1 CITY | Houston |
| WORKSITE COUNTY | HARRIS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77042 |
| LCA CASE WAGE RATE FROM | 96000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 67163 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Cruz |
| PREPARER FIRST NAME | Elizabeth |
| PREPARER BUSINESS NAME | Jackson Lewis PC |
| PREPARER EMAIL | elizabeth.cruz@jacksonlewis.com |
