| LCA CASE NUMBER | I-200-23121-980559 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-01 |
| DECISION DATE | 2023-05-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Embedded Software Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Polymer Technology Systems, Inc. |
| TRADE NAME DBA | PTS Diagnostics |
| EMPLOYER ADDRESS1 | 4600 Anson Blvd |
| EMPLOYER CITY | Whitestown |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46075 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13178705610 |
| NAICS CODE | 3254 |
| EMPLOYER POC LAST NAME | Zeltwanger |
| EMPLOYER POC FIRST NAME | Kim |
| EMPLOYER POC JOB TITLE | Senior Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 2400 NW 55th Court |
| EMPLOYER POC CITY | Fort Lauderdale |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33309 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19546779201 |
| EMPLOYER POC EMAIL | kzeltwanger@trividiahealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Prall |
| AGENT ATTORNEY FIRST NAME | Nicola |
| AGENT ATTORNEY MIDDLE NAME | A.L. |
| AGENT ATTORNEY ADDRESS1 | 3737 GLENWOOD AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 450 |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | NORTH CAROLINA |
| AGENT ATTORNEY PHONE | 19197606460 |
| AGENT ATTORNEY PHONE EXT | 6467 |
| AGENT ATTORNEY EMAIL ADDRESS | NICOLA.PRALL@JACKSONLEWIS.COM |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | NC |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4600 Anson Blvd |
| LCA CASE WORKLOC1 CITY | Whitestown |
| WORKSITE COUNTY | BOONE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46075 |
| LCA CASE WAGE RATE FROM | 70000 |
| LCA CASE WAGE RATE TO | 80000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 66560 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Prall |
| PREPARER FIRST NAME | Nicola |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | allison.wimbley@jacksonlewis.com |
