| LCA CASE NUMBER | I-200-21243-556530 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-08-31 |
| DECISION DATE | 2021-09-27 |
| ORIGINAL CERT DATE | 2021-09-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-07 |
| END DATE | 2024-09-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | NIC INFO TEK INC |
| EMPLOYER ADDRESS1 | 13224 TELECOM DR |
| EMPLOYER CITY | TEMPLE TERRACE |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33637 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18139853630 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Vajjasubash |
| EMPLOYER POC FIRST NAME | Chandrabose |
| EMPLOYER POC JOB TITLE | Manager |
| EMPLOYER POC ADDRESS1 | 13224 TELECOM DR |
| EMPLOYER POC CITY | TEMPLE TERRACE |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33637 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18139853630 |
| EMPLOYER POC EMAIL | bose@nicinfotek.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Broussard |
| AGENT ATTORNEY FIRST NAME | Ashley |
| AGENT ATTORNEY ADDRESS1 | 3501 BESSIE COLEMAN BLVD. |
| AGENT ATTORNEY ADDRESS2 | P.O. BOX 20012 |
| AGENT ATTORNEY CITY | TAMPA |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33622-0012 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18136480010 |
| AGENT ATTORNEY EMAIL ADDRESS | ANITA@BAYLAWFIRM.COM |
| LAWFIRM NAME BUSINESS NAME | BAY LAW FIRM, PLLC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF FLORIDA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | CareDX,Inc |
| WORKSITE ADDRESS1 | 1 Tower Pl 9th floor |
| LCA CASE WORKLOC1 CITY | South San Francisco |
| WORKSITE COUNTY | SAN MATEO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94080 |
| LCA CASE WAGE RATE FROM | 121763 |
| LCA CASE WAGE RATE TO | 121800 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 121763 |
| 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 | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| PUBLIC DISCLOSURE | Disclose Business |
