| LCA CASE NUMBER | I-200-21316-703758 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-12 |
| DECISION DATE | 2021-11-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-16 |
| END DATE | 2024-11-15 |
| 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 | IT KEYSOURCE, INC. |
| EMPLOYER ADDRESS1 | 11220 ELM Lane |
| EMPLOYER ADDRESS2 | Suite #204 |
| EMPLOYER CITY | Charlotte |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28277 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17044123375 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Bandam |
| EMPLOYER POC FIRST NAME | Pallavi |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS1 | 11220 ELM Lane |
| EMPLOYER POC ADDRESS2 | Suite #204 |
| EMPLOYER POC CITY | Charlotte |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28277 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17044123375 |
| EMPLOYER POC EMAIL | hr@itkeysource.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ilindra |
| AGENT ATTORNEY FIRST NAME | Bhanu |
| AGENT ATTORNEY MIDDLE NAME | Babu |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 1129 |
| AGENT ATTORNEY CITY | Herndon |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20172 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17034967722 |
| AGENT ATTORNEY EMAIL ADDRESS | bhanu@bbilawgroup.com |
| LAWFIRM NAME BUSINESS NAME | BBI Law Group, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Third Appellate Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Blue Cross Blue Shield of Michigan (BCBSM) |
| WORKSITE ADDRESS1 | Renaissance Center Towers 500/600 |
| WORKSITE ADDRESS2 | 600 Renaissance Center |
| LCA CASE WORKLOC1 CITY | Detroit |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48243 |
| LCA CASE WAGE RATE FROM | 80200 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80163 |
| 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 | 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 |
| PREPARER LAST NAME | Ilindra |
| PREPARER FIRST NAME | Bhanu |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | BBI Law Group, P.C. |
| PREPARER EMAIL | bhanu@bbilawgroup.com |
