| LCA CASE NUMBER | I-200-21133-309940 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2021-05-13 |
| DECISION DATE | 2021-05-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | AEM Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Cloud Centric Inc |
| EMPLOYER ADDRESS1 | 1128 N Walton Blvd |
| EMPLOYER CITY | Bentonville |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72712 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14806968985 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Veerabathini |
| EMPLOYER POC FIRST NAME | Srikanth |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 1128 N Walton Blvd |
| EMPLOYER POC CITY | Bentonville |
| EMPLOYER POC STATE | AR |
| EMPLOYER POC POSTAL CODE | 72712 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14806968985 |
| EMPLOYER POC EMAIL | legal@cloudcentricinc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kilani |
| AGENT ATTORNEY FIRST NAME | Swapna |
| 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 PHONE EXT | 221 |
| AGENT ATTORNEY EMAIL ADDRESS | icert@bizlegalservices.com |
| LAWFIRM NAME BUSINESS NAME | International Legal and Business Services Group LLP |
| STATE OF HIGHEST COURT | IL |
|
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Blue Cross Blue Shield of Michigan |
| WORKSITE ADDRESS1 | 415 E Jefferson Ave |
| LCA CASE WORKLOC1 CITY | Detroit48226 |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48226 |
| LCA CASE WAGE RATE FROM | 79248 |
| LCA CASE WAGE RATE TO | 79249 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 79248 |
| PW UNIT OF PAY | Year |
| 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 |
