| LCA CASE NUMBER | I-200-23110-950823 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-20 |
| DECISION DATE | 2023-04-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Test Engineer IV |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-11 |
| END DATE | 2026-07-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Excellus Health Plan, Inc. |
| EMPLOYER ADDRESS1 | 165 Court Street |
| EMPLOYER CITY | Rochester |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14647 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15852384319 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Lacey |
| EMPLOYER POC FIRST NAME | Derrick |
| EMPLOYER POC JOB TITLE | Immigration Specialist, HR Compliance |
| EMPLOYER POC ADDRESS1 | 165 Court Street |
| EMPLOYER POC CITY | Rochester |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14647 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15852383614 |
| EMPLOYER POC EMAIL | derrick.lacey@excellus.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Agostinelli |
| AGENT ATTORNEY FIRST NAME | Gabriella |
| AGENT ATTORNEY MIDDLE NAME | Ernestine |
| AGENT ATTORNEY ADDRESS1 | 2300 Wehrle Drive |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17166341010 |
| AGENT ATTORNEY EMAIL ADDRESS | gagost@usimmlawyer.com |
| LAWFIRM NAME BUSINESS NAME | Berardi Immigration Law |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals 4th Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 205 Park Club Ln |
| LCA CASE WORKLOC1 CITY | Buffalo |
| WORKSITE COUNTY | ERIE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14221 |
| LCA CASE WAGE RATE FROM | 103584 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 102066 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Chiodo |
| PREPARER FIRST NAME | Erica |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Berardi Immigration Law |
| PREPARER EMAIL | EChiodo@usimmlawyer.com |