| LCA CASE NUMBER | I-200-21144-338572 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-24 |
| DECISION DATE | 2021-06-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Database Administrator |
| SOC CODE | 15-1141.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-14 |
| END DATE | 2024-06-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | IMPACT CONSULTING SOLUTIONS, INC. |
| EMPLOYER ADDRESS1 | 200 Cedar Ridge Drive |
| EMPLOYER ADDRESS2 | Suite 212 |
| EMPLOYER CITY | PITTSBURGH |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15205 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14129371000 |
| EMPLOYER PHONE EXT | 700 |
| NAICS CODE | 541512 |
| EMPLOYER POC LAST NAME | DAVOREN |
| EMPLOYER POC FIRST NAME | JOSEPH |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS 1 | 200 Cedar Ridge Drive |
| EMPLOYER POC ADDRESS 2 | Suite 212 |
| EMPLOYER POC CITY | PITTSBURGH |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15205 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14129371000 |
| EMPLOYER POC PHONE EXT | 700 |
| EMPLOYER POC EMAIL | JDAVOREN@IMPACTCSI.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SETH |
| AGENT ATTORNEY FIRST NAME | PIYUSH |
| AGENT ATTORNEY ADDRESS1 | 1000 MCKNIGHT PARK DRIVE |
| AGENT ATTORNEY ADDRESS2 | SUITE 1006A |
| AGENT ATTORNEY CITY | PITTSBURGH |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15237 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14122816005 |
| AGENT ATTORNEY EMAIL ADDRESS | SETH@SETHLEGAL.COM |
| LAWFIRM NAME BUSINESS NAME | SETH LAW OFFICES, P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | University of Pittsburgh Medical Center (UPMC) |
| WORKSITE ADDRESS1 | USX Building, 600 Grant Street |
| WORKSITE ADDRESS2 | 31st Floor |
| LCA CASE WORKLOC1 CITY | Pittsburgh |
| WORKSITE COUNTY | ALLEGHENY |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15219 |
| LCA CASE WAGE RATE FROM | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 96741 |
| 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 |
| PREPARER LAST NAME | Seth |
| PREPARER FIRST NAME | Piyush |
| PREPARER BUSINESS NAME | Seth Law Offices, P. C. |
| PREPARER EMAIL | seth@sethlegal.com |
