| LCA CASE NUMBER | I-200-21125-290096 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-05 |
| DECISION DATE | 2021-05-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT DEVELOPER |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-13 |
| END DATE | 2024-06-12 |
| 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 | DIVERSIFIED SERVICE OPTIONS, INC. |
| TRADE NAME DBA | DBA GUIDEWELL SOURCE |
| EMPLOYER ADDRESS1 | 532 Riverside Avenue |
| EMPLOYER CITY | Jacksonville |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19047916107 |
| NAICS CODE | 551112 |
| EMPLOYER POC LAST NAME | Owen |
| EMPLOYER POC FIRST NAME | Heather |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | Assistant General Counsel |
| EMPLOYER POC ADDRESS 1 | 532 Riverside Avenue |
| EMPLOYER POC CITY | Jacksonville |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19047916107 |
| EMPLOYER POC EMAIL | Heather.Owen@guidewellsource.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 | 32202 |
| 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 | False |
| WORKSITE ADDRESS1 | 532 Riverside Avenue |
| LCA CASE WORKLOC1 CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32202 |
| LCA CASE WAGE RATE FROM | 116900 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 111946 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
