| LCA CASE NUMBER | I-200-21061-113773 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-02 |
| DECISION DATE | 2021-03-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | QA Analyst |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-02 |
| END DATE | 2024-03-01 |
| 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 | Fortisview LLC |
| EMPLOYER ADDRESS1 | 8601 Six Forks Road |
| EMPLOYER ADDRESS2 | Suite 400 |
| EMPLOYER CITY | Raleigh |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27615 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19192130659 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Mehta |
| EMPLOYER POC FIRST NAME | Sujal |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | 8601 Six Forks Road |
| EMPLOYER POC ADDRESS 2 | Suite 400 |
| EMPLOYER POC CITY | Raleigh |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27615 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19192130659 |
| EMPLOYER POC EMAIL | sujal.mehta@fortisview.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lee |
| AGENT ATTORNEY FIRST NAME | Sandra |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 2825 Wilcrest Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 456 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77042 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12817836878 |
| AGENT ATTORNEY EMAIL ADDRESS | dlaughlin@sandralee.law |
| LAWFIRM NAME BUSINESS NAME | Law Office of Sandra C. Lee |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Anthem, Inc. |
| WORKSITE ADDRESS1 | 5800 Northampton Blvd. |
| LCA CASE WORKLOC1 CITY | Norfolk |
| WORKSITE COUNTY | NORFOLK CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23502 |
| LCA CASE WAGE RATE FROM | 77522 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 77522 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | $60,000 or higher annual wage |
| PUBLIC DISCLOSURE | Disclose Business |
