| LCA CASE NUMBER | I-200-24130-977245 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-05-09 |
| DECISION DATE | 2024-05-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate IT Developer |
| SOC CODE | 15-1299.08 |
| SOC TITLE | Computer Systems Engineers/Architects |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-10-01 |
| END DATE | 2027-09-30 |
| 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 | Amica Mutual Insurance Company |
| EMPLOYER ADDRESS1 | 50 Amica Way |
| EMPLOYER CITY | Lincoln |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 02865 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18006526422 |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Awan |
| EMPLOYER POC FIRST NAME | Shameem |
| EMPLOYER POC JOB TITLE | Sr. Assistant Vice President |
| EMPLOYER POC ADDRESS1 | 50 Amica Way |
| EMPLOYER POC CITY | Lincoln |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 02865 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18006526422 |
| EMPLOYER POC EMAIL | sawan@amica.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hul |
| AGENT ATTORNEY FIRST NAME | Dennis |
| AGENT ATTORNEY MIDDLE NAME | Savann |
| AGENT ATTORNEY ADDRESS1 | 548 Market Street |
| AGENT ATTORNEY ADDRESS2 | Suite 36741 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104-5401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14152360634 |
| AGENT ATTORNEY EMAIL ADDRESS | gov@boundless.com |
| LAWFIRM NAME BUSINESS NAME | Boundless Immigration Inc. |
| STATE OF HIGHEST COURT | RI |
| NAME OF HIGHEST STATE COURT | Supreme Court of Rhode Island |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 15 Bayside St |
| LCA CASE WORKLOC1 CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02125 |
| LCA CASE WAGE RATE FROM | 65752 |
| LCA CASE WAGE RATE TO | 95340 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 65354 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | De Leon |
| PREPARER FIRST NAME | John April |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Boundless Immigration Inc. |
| PREPARER EMAIL | john-april.deleon@boundless.com |