| LCA CASE NUMBER | I-200-21286-642097 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-13 |
| DECISION DATE | 2021-10-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Sr Business Intelligence Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-18 |
| END DATE | 2024-10-17 |
| 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 | Cotiviti Inc. |
| EMPLOYER ADDRESS1 | 6802 Paragon Place |
| EMPLOYER ADDRESS2 | Suite 500 |
| EMPLOYER CITY | Richmond |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23230 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18042738047 |
| NAICS CODE | 541611 |
| EMPLOYER POC LAST NAME | Callahan |
| EMPLOYER POC FIRST NAME | Robin |
| EMPLOYER POC JOB TITLE | Manager, HR Compliance |
| EMPLOYER POC ADDRESS1 | 6802 Paragon Place |
| EMPLOYER POC ADDRESS2 | Suite 500 |
| EMPLOYER POC CITY | Richmond |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23230 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18042738047 |
| EMPLOYER POC EMAIL | Robin.Callahan@cotiviti.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sherman |
| AGENT ATTORNEY FIRST NAME | Kyle |
| AGENT ATTORNEY MIDDLE NAME | Donnelly |
| AGENT ATTORNEY ADDRESS1 | 1355 Peachtree St NE |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14048565532 |
| AGENT ATTORNEY EMAIL ADDRESS | aahoward@fragomen.com |
|
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen, & Lowey LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6802 Paragon Pl Suite 500 |
| LCA CASE WORKLOC1 CITY | Richmond |
| WORKSITE COUNTY | HENRICO |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23230 |
| LCA CASE WAGE RATE FROM | 103771 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103771 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
