| LCA CASE NUMBER | I-200-21344-757098 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-10 |
| DECISION DATE | 2021-12-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer, Applications |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-13 |
| END DATE | 2024-12-12 |
| 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 | Excellis Consulting Corporation |
| EMPLOYER ADDRESS1 | 1150 1st Avenue |
| EMPLOYER ADDRESS2 | Suite 820 |
| EMPLOYER CITY | King of Prussia |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19406 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16109937680 |
| NAICS CODE | 541512 |
| EMPLOYER POC LAST NAME | Semisch |
| EMPLOYER POC FIRST NAME | Wayne |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 1150 1st Avenue |
| EMPLOYER POC ADDRESS2 | Suite 820 |
| EMPLOYER POC CITY | King of Prussia |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19406 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16109937680 |
| EMPLOYER POC PHONE EXT | 101 |
| EMPLOYER POC EMAIL | wsemisch@excelliscorp.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Welch |
| AGENT ATTORNEY FIRST NAME | Lidiya |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 630 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158853600 |
| AGENT ATTORNEY EMAIL ADDRESS | lidiya@goldblumfirm.com |
|
| LAWFIRM NAME BUSINESS NAME | Goldblum, Pollins & Dennis, P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6501 W 138th Terrace |
| WORKSITE ADDRESS2 | Apt 1017 |
| LCA CASE WORKLOC1 CITY | Overland Park |
| WORKSITE COUNTY | JOHNSON |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 66223 |
| LCA CASE WAGE RATE FROM | 118000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80122 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | Goldblum, Pollins & Dennis, P.C. |
