| LCA CASE NUMBER | I-200-21305-679902 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-01 |
| DECISION DATE | 2021-11-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SOFTWARE ENGINEER |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-04 |
| END DATE | 2025-04-03 |
| 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 | STATEN ISLAND PERFORMING PROVIDER SYSTEM |
| EMPLOYER ADDRESS1 | 1 EDGEWATER PLAZA |
| EMPLOYER ADDRESS2 | SUITE 700 |
| EMPLOYER CITY | STATEN ISLAND |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10305 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19178301160 |
| NAICS CODE | 923130 |
| EMPLOYER POC LAST NAME | LAJQI |
| EMPLOYER POC FIRST NAME | VALBONA |
| EMPLOYER POC JOB TITLE | OPERATIONS MANAGER |
| EMPLOYER POC ADDRESS1 | 1 EDGEWATER PLAZA |
| EMPLOYER POC ADDRESS2 | SUITE 700 |
| EMPLOYER POC CITY | STATEN ISLAND |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10305 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19178301160 |
| EMPLOYER POC EMAIL | VLAJQI@STATENISLANDPPS.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | FINN |
| AGENT ATTORNEY FIRST NAME | HALEY |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 2477 |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | NORTH CAROLINA |
| AGENT ATTORNEY PHONE | 19198330840 |
| AGENT ATTORNEY PHONE EXT | 12 |
| AGENT ATTORNEY EMAIL ADDRESS | HALEY@BASHYAMSHAH.COM |
| LAWFIRM NAME BUSINESS NAME | BASHYAM SHAH LLP |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1 EDGEWATER PLAZA |
| WORKSITE ADDRESS2 | SUITE 700 |
| LCA CASE WORKLOC1 CITY | STATEN ISLAND |
| WORKSITE COUNTY | RICHMOND |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10305 |
| LCA CASE WAGE RATE FROM | 106090 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 101754 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
