| LCA CASE NUMBER | I-200-21187-445925 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-06 |
| DECISION DATE | 2021-07-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Systems Software Developer |
| SOC CODE | 15-1133.00 |
| SOC TITLE | Software Developers, Systems Software |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-12 |
| END DATE | 2024-08-11 |
| 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 | Insycom, Inc. |
| EMPLOYER ADDRESS1 | 85 River Street, Suite 4B |
| EMPLOYER CITY | Waltham |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2453 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17816421048 |
| NAICS CODE | 54133 |
| EMPLOYER POC LAST NAME | Kaplaukhov |
| EMPLOYER POC FIRST NAME | Stanislav |
| EMPLOYER POC MIDDLE NAME | Nikolaevich |
| EMPLOYER POC JOB TITLE | HR Manager/VP |
| EMPLOYER POC ADDRESS1 | 85 River Street, Ste 4B |
| EMPLOYER POC CITY | Waltham |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2453 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17816421048 |
| EMPLOYER POC EMAIL | stan@insycom.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DiSisto |
| AGENT ATTORNEY FIRST NAME | Giuseppina |
| AGENT ATTORNEY MIDDLE NAME | Anna |
| AGENT ATTORNEY ADDRESS1 | 1 West Water Street, Ste. 203 |
| AGENT ATTORNEY CITY | Waltham |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2453 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17812029932 |
| AGENT ATTORNEY EMAIL ADDRESS | disisto@massgreencard.com |
| LAWFIRM NAME BUSINESS NAME | DiSisto Law, PC |
| STATE OF HIGHEST COURT | MA |
|
| NAME OF HIGHEST STATE COURT | Superior Court of Massachusetts |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 85 River Street. Suite 4B |
| LCA CASE WORKLOC1 CITY | Waltham |
| WORKSITE COUNTY | WALTHAM CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2453 |
| LCA CASE WAGE RATE FROM | 99944 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 99944 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | $60,000 or higher annual wage |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | DiSisto |
| PREPARER FIRST NAME | Giuseppina |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | DiSisto Law, PC |
| PREPARER EMAIL | disisto@massgreencard.com |
