| LCA CASE NUMBER | I-200-21252-572784 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-09 |
| DECISION DATE | 2021-09-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Forgerock Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-16 |
| END DATE | 2023-09-14 |
| 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 | 21 STAFF LLC |
| EMPLOYER ADDRESS1 | 5980 Stoneridge Dr, |
| EMPLOYER ADDRESS2 | Suite 103 |
| EMPLOYER CITY | Pleasanton |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94588 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15102985950 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Sankavaram |
| EMPLOYER POC FIRST NAME | Sujatha |
| EMPLOYER POC JOB TITLE | Hr Specialist |
| EMPLOYER POC ADDRESS1 | 5980 Stoneridge Dr |
| EMPLOYER POC ADDRESS2 | Suite 103 |
| EMPLOYER POC CITY | Pleasanton |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94588 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15102985950 |
| EMPLOYER POC EMAIL | hr@21staff.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | HCSC (Health Care Service Corporation) |
| WORKSITE ADDRESS1 | 1001 E Lookout Dr, |
| LCA CASE WORKLOC1 CITY | Richardson |
| WORKSITE COUNTY | DALLAS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75082 |
| LCA CASE WAGE RATE FROM | 94307 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 94037 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 |
