| LCA CASE NUMBER | I-200-21093-195571 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-03 |
| DECISION DATE | 2021-04-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DATA TESTING ANALYST |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-26 |
| END DATE | 2024-09-25 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ADECCO GROUP NA/MODIS, INC. |
| EMPLOYER ADDRESS1 | 10151 DEERWOOD PARK BOULEVARD |
| EMPLOYER ADDRESS2 | BUILDING 200, SUITE 400 |
| EMPLOYER CITY | JACKSONVILLE |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32256 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19045135198 |
| NAICS CODE | 541612 |
| EMPLOYER POC LAST NAME | BRENDLE |
| EMPLOYER POC FIRST NAME | WILLIAM |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | MANAGER, IMMIGRATION & DOMESTIC RELOCATION |
| EMPLOYER POC ADDRESS 1 | 10151 DEERWOOD PARK BLVD. |
| EMPLOYER POC ADDRESS 2 | BUILDING 200, SUITE 400 |
| EMPLOYER POC CITY | JACKSONVILLE |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32256 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19045135198 |
| EMPLOYER POC EMAIL | TRIPP.BRENDLE@ADECCOGROUP.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DEARING |
| AGENT ATTORNEY FIRST NAME | MELISSA |
| AGENT ATTORNEY MIDDLE NAME | ANN |
| AGENT ATTORNEY ADDRESS1 | 50 NORTH LAURA STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 2600 |
| AGENT ATTORNEY CITY | JACKSONVILLE |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 32256 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19045986131 |
|
| AGENT ATTORNEY EMAIL ADDRESS | MDEARING@SGRLAW.COM |
| LAWFIRM NAME BUSINESS NAME | SMITH, GAMBRELL & RUSSELL, LLP |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | FLORIDA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | BCBSNE |
| WORKSITE ADDRESS1 | 1919 AKSARBEN DRIVE |
| LCA CASE WORKLOC1 CITY | OMAHA |
| WORKSITE COUNTY | DOUGLAS |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68106 |
| LCA CASE WAGE RATE FROM | 32 |
| LCA CASE WAGE RATE TO | 40 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 30.84 |
| PW UNIT OF PAY | Hour |
| 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 |
