| LCA CASE NUMBER | I-200-22130-156178 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-10 |
| DECISION DATE | 2022-05-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Business Intelligence Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-06-06 |
| END DATE | 2025-06-05 |
| 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 | Fivos, Inc. |
| EMPLOYER ADDRESS1 | 8 Commerce Avenue |
| EMPLOYER CITY | West Lebanon |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 03784 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16032985509 |
| NAICS CODE | 518210 |
| EMPLOYER POC LAST NAME | Khalil |
| EMPLOYER POC FIRST NAME | Mohamed |
| EMPLOYER POC JOB TITLE | Corporate Counsel |
| EMPLOYER POC ADDRESS1 | 8 Commerce Avenue |
| EMPLOYER POC CITY | West Lebanon |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 03784 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16032985509 |
| EMPLOYER POC EMAIL | legal@fivoshealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Zakharova |
| AGENT ATTORNEY FIRST NAME | Lola |
| AGENT ATTORNEY ADDRESS1 | 705 2nd Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12066221604 |
| AGENT ATTORNEY EMAIL ADDRESS | paulab@mhb.com |
| LAWFIRM NAME BUSINESS NAME | MacDonald Hoague and Bayless |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | WASHINGTON SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10 Bloomingdale Dr |
| WORKSITE ADDRESS2 | Apt 715 |
| LCA CASE WORKLOC1 CITY | Hillsborough |
| WORKSITE COUNTY | SOMERSET |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 08844 |
| LCA CASE WAGE RATE FROM | 124000 |
| LCA CASE WAGE RATE TO | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 123614 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
