| LCA CASE NUMBER | I-200-21321-711960 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-17 |
| DECISION DATE | 2021-11-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Workday Senior Developer |
| SOC CODE | 15-1133.00 |
| SOC TITLE | Software Developers, Systems Software |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-25 |
| END DATE | 2024-11-24 |
| 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 | Providence Administrative Consulting Services, Inc. |
| EMPLOYER ADDRESS1 | 140 N. Union Avenue |
| EMPLOYER ADDRESS2 | Suite 320 |
| EMPLOYER CITY | Farmington |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84025 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8014479829 |
| NAICS CODE | 541611 |
| EMPLOYER POC LAST NAME | Fuller |
| EMPLOYER POC FIRST NAME | Steven |
| EMPLOYER POC MIDDLE NAME | Robert |
| EMPLOYER POC JOB TITLE | Executive Director of Technology |
| EMPLOYER POC ADDRESS1 | 1549 Tuscany CV |
| EMPLOYER POC CITY | Farmington |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84025 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16023808250 |
| EMPLOYER POC EMAIL | steve.fuller@pacshc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stevenson |
| AGENT ATTORNEY FIRST NAME | Shanon |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 1075 Peachtree Street, NE |
| AGENT ATTORNEY ADDRESS2 | Suite 3500 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14042405842 |
| AGENT ATTORNEY EMAIL ADDRESS | sstevenson@fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 140 N. Union Avenue |
| WORKSITE ADDRESS2 | Suite 320 |
| LCA CASE WORKLOC1 CITY | Farmington |
| WORKSITE COUNTY | DAVIS |
| LCA CASE WORKLOC1 STATE | UT |
| WORKSITE POSTAL CODE | 84025 |
| LCA CASE WAGE RATE FROM | 140000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112798 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
