| LCA CASE NUMBER | I-200-21110-242931 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-20 |
| DECISION DATE | 2021-04-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Analyst |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-20 |
| END DATE | 2024-04-19 |
| 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 | Fiserv Solutions, LLC |
| EMPLOYER ADDRESS1 | Fiserv, Inc., 255 Fiserv Drive |
| EMPLOYER CITY | Brookfield |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53045 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12628795000 |
| NAICS CODE | 518210 |
| EMPLOYER POC LAST NAME | Gall |
| EMPLOYER POC FIRST NAME | Elizabeth |
| EMPLOYER POC JOB TITLE | Director, HR Operations, Global Mobility |
| EMPLOYER POC ADDRESS 1 | Fiserv, Inc., 255 Fiserv Drive |
| EMPLOYER POC CITY | Brookfield |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53045 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12628795000 |
| EMPLOYER POC EMAIL | globalmobility.corporatehr@fiserv.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PATTERSON |
| AGENT ATTORNEY FIRST NAME | JENNIFER |
| AGENT ATTORNEY MIDDLE NAME | GOODMAN |
| AGENT ATTORNEY ADDRESS1 | 1101 15TH STREET, NW |
| AGENT ATTORNEY ADDRESS2 | SUITE 700 |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20005 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12022235515 |
| AGENT ATTORNEY EMAIL ADDRESS | LCATeamPham@Fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | DC |
|
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2450 Camellia Ln NE |
| WORKSITE ADDRESS2 | Apt # 1228 |
| LCA CASE WORKLOC1 CITY | Atlanta |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30324 |
| LCA CASE WAGE RATE FROM | 103501 |
| LCA CASE WAGE RATE TO | 132400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103501 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | Afifi |
| PREPARER FIRST NAME | Deena |
| PREPARER MIDDLE INITIAL | W |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | LCATeamPham@Fragomen.com |
