| LCA CASE NUMBER | I-200-21113-252581 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-23 |
| DECISION DATE | 2021-04-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Servicenow Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-03 |
| END DATE | 2024-05-02 |
| 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 | Collaborate Solutions Inc. |
| EMPLOYER ADDRESS1 | 415 Boston Tpke Road |
| EMPLOYER ADDRESS2 | Suite 302 |
| EMPLOYER CITY | Shrewsbury |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1545 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15088454440 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Chandrapu |
| EMPLOYER POC FIRST NAME | Tiru |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 415 Boston Tpke Road |
| EMPLOYER POC ADDRESS 2 | Suite 302 |
| EMPLOYER POC CITY | Shrewsbury |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01545 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15088454440 |
| EMPLOYER POC EMAIL | tiru@collaboratesolutions.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Leuleseged |
| AGENT ATTORNEY FIRST NAME | Aiemero |
| AGENT ATTORNEY MIDDLE NAME | Sefiw |
| AGENT ATTORNEY ADDRESS1 | 802 E Woodfield Road |
| AGENT ATTORNEY ADDRESS2 | Suite G 400 |
| AGENT ATTORNEY CITY | Schaumburg |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60173 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18479951515 |
| AGENT ATTORNEY EMAIL ADDRESS | icert@bizlegalservices.com |
|
| LAWFIRM NAME BUSINESS NAME | International Legal and Business Services Group LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Works remotely for United Health Group (UHG) |
| WORKSITE ADDRESS1 | 16516 SE Mill Plain Blvd |
| WORKSITE ADDRESS2 | Apt# G 130 |
| LCA CASE WORKLOC1 CITY | Vancouver |
| WORKSITE COUNTY | CLARK |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98684 |
| LCA CASE WAGE RATE FROM | 90979 |
| LCA CASE WAGE RATE TO | 90980 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 90979 |
| 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 | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| PUBLIC DISCLOSURE | Disclose Business |
