| LCA CASE NUMBER | I-200-21172-413988 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-21 |
| DECISION DATE | 2021-06-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Sr. Software Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-24 |
| END DATE | 2024-06-23 |
| 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 | Provation Software, Inc. |
| EMPLOYER ADDRESS1 | 533 South 3rd Street |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Minneapolis |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55415 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16122377100 |
| NAICS CODE | 541512 |
| EMPLOYER POC LAST NAME | Hanson |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC JOB TITLE | VP of Human Resources |
| EMPLOYER POC ADDRESS 1 | 533 South 3rd Street |
| EMPLOYER POC ADDRESS 2 | Suite 300 |
| EMPLOYER POC CITY | Minneapolis |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55415 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16122377100 |
| EMPLOYER POC EMAIL | susan.hanson@provationmedical.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Razzaq |
| AGENT ATTORNEY FIRST NAME | Maweza |
| AGENT ATTORNEY ADDRESS1 | 333 W. Wacker Drive |
| AGENT ATTORNEY ADDRESS2 | 15th Floor |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13122636101 |
| AGENT ATTORNEY EMAIL ADDRESS | Chicagoebu@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen Del Rey Bernsen & Loewy LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 533 South 3rd Street |
| WORKSITE ADDRESS2 | Suite 300 |
| LCA CASE WORKLOC1 CITY | Minneapolis |
| WORKSITE COUNTY | HENNEPIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55415 |
| LCA CASE WAGE RATE FROM | 122741 |
| LCA CASE WAGE RATE TO | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122741 |
| 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 | Piedra |
| PREPARER FIRST NAME | Isabel |
| PREPARER BUSINESS NAME | Fragomen Del Rey Bernsen & Loewy LLP |
| PREPARER EMAIL | ipiedra@fragomen.com |
