| LCA CASE NUMBER | I-200-21313-694900 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-11-09 |
| DECISION DATE | 2022-08-22 |
| ORIGINAL CERT DATE | 2021-11-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Software Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-22 |
| END DATE | 2024-11-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | IntelyCare, Inc. |
| EMPLOYER ADDRESS1 | 1515 Hancock Street |
| EMPLOYER ADDRESS2 | Suite 203 |
| EMPLOYER CITY | Quincy |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2169 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16179342467 |
| NAICS CODE | 541519 |
| EMPLOYER POC LAST NAME | Drisko |
| EMPLOYER POC FIRST NAME | Teresa |
| EMPLOYER POC JOB TITLE | Director of People and Culture |
| EMPLOYER POC ADDRESS1 | 1515 Hancock Street |
| EMPLOYER POC ADDRESS2 | Suite 203 |
| EMPLOYER POC CITY | Quincy |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2169 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16179342467 |
| EMPLOYER POC EMAIL | tdrisko@intelycare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Starzyk |
| AGENT ATTORNEY FIRST NAME | Shelley |
| AGENT ATTORNEY ADDRESS1 | 456 Hanover Street |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2113 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16173579300 |
| AGENT ATTORNEY EMAIL ADDRESS | info@gossimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Goss Associates, LLC |
|
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Tennessee |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 720 S. Dobson Road |
| WORKSITE ADDRESS2 | Unit 88 |
| LCA CASE WORKLOC1 CITY | Mesa |
| WORKSITE COUNTY | MARICOPA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85202 |
| LCA CASE WAGE RATE FROM | 145000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 105269 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
