| LCA CASE NUMBER | I-200-21348-763332 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-14 |
| DECISION DATE | 2021-12-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior QA Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-20 |
| END DATE | 2024-12-19 |
| 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 | Staples, Inc. |
| EMPLOYER ADDRESS1 | Staples, Inc. 500 Staples Drive |
| EMPLOYER CITY | Framingham |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01702 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15082533226 |
| NAICS CODE | 453210 |
| EMPLOYER POC LAST NAME | Moulton |
| EMPLOYER POC FIRST NAME | Patricia |
| EMPLOYER POC JOB TITLE | Benefits Manager |
| EMPLOYER POC ADDRESS1 | Staples, Inc. 500 Staples Drive |
| EMPLOYER POC CITY | Framingham |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01702 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15082533226 |
| EMPLOYER POC EMAIL | Immigration@Staples.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | ROBINS |
| AGENT ATTORNEY FIRST NAME | KATE |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 100 HIGH ST. |
| AGENT ATTORNEY ADDRESS2 | FLOOR 3 |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16175740400 |
| AGENT ATTORNEY EMAIL ADDRESS | BECKELKAMP@FRAGOMEN.COM |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| STATE OF HIGHEST COURT | MA |
|
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 500 Staples Drive |
| LCA CASE WORKLOC1 CITY | Framingham |
| WORKSITE COUNTY | FRAMINGHAM |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01702 |
| LCA CASE WAGE RATE FROM | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 88005 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
| PREPARER LAST NAME | ECKELKAMP |
| PREPARER FIRST NAME | BRIAN |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| PREPARER EMAIL | BECKELKAMP@FRAGOMEN.COM |
