| LCA CASE NUMBER | I-200-21112-250861 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-22 |
| DECISION DATE | 2021-04-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Design Validation Engineer |
| SOC CODE | 17-2199.00 |
| SOC TITLE | Engineers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-22 |
| END DATE | 2024-04-21 |
| 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 | Diversified Services Network, Inc. |
| EMPLOYER ADDRESS1 | 2760 FORGUE DRIVE |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Naperville |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60564 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16309839819 |
| NAICS CODE | 541330 |
| EMPLOYER POC LAST NAME | Refai |
| EMPLOYER POC FIRST NAME | Nabil |
| EMPLOYER POC JOB TITLE | Vice President |
| EMPLOYER POC ADDRESS 1 | 2760 FORGUE DRIVE |
| EMPLOYER POC ADDRESS 2 | Suite 100 |
| EMPLOYER POC CITY | Naperville |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60564 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16309839819 |
| EMPLOYER POC EMAIL | nrefai@dsnworldwide.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khosla |
| AGENT ATTORNEY FIRST NAME | P. Michael |
| AGENT ATTORNEY ADDRESS1 | 3116-C, West Montgomery Road |
| AGENT ATTORNEY ADDRESS2 | Suite 316 |
| AGENT ATTORNEY CITY | Maineville |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45039 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133107471 |
| AGENT ATTORNEY EMAIL ADDRESS | PMichaelKhosla@yahoo.com |
| LAWFIRM NAME BUSINESS NAME | The Khosla Immigration Law Group, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | ILLINOIS STATE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6 S. 4th Street |
| WORKSITE ADDRESS2 | Apt. 7 |
| LCA CASE WORKLOC1 CITY | Lafayette |
| WORKSITE COUNTY | TIPPECANOE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47901 |
| LCA CASE WAGE RATE FROM | 37 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 36.25 |
| PW UNIT OF PAY | Hour |
| 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 | Khosla |
| PREPARER FIRST NAME | P. Michael |
| PREPARER BUSINESS NAME | The Khosla Immigration Law Group, P.C. |
| PREPARER EMAIL | PMichaelKhosla@yahoo.com |
