| LCA CASE NUMBER | I-200-19312-136019 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-08 |
| DECISION DATE | 2019-11-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Siebel Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-08 |
| END DATE | 2022-11-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | LORSIV TECHNOLOGIES, INC |
| EMPLOYER ADDRESS1 | 3080 OGDEN AVENUE |
| EMPLOYER ADDRESS2 | SUITE 102 |
| EMPLOYER CITY | LISLE |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60532 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +18143841400 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | MOVVA |
| EMPLOYER POC FIRST NAME | SAMBASIVA |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 3080 OGDEN AVENUE |
| EMPLOYER POC ADDRESS2 | SUITE 102 |
| EMPLOYER POC CITY | LISLE |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60532 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +18143841400 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | KENNEDY |
| AGENT ATTORNEY FIRST NAME | ADAIKALA MARY |
| AGENT ATTORNEY ADDRESS1 | 4660 NE BELKNAP CT |
| AGENT ATTORNEY ADDRESS2 | STE 101 |
| AGENT ATTORNEY CITY | HILLSBORO |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97124 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15032075634.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF MARY KENNEDY, LLC |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | SUPREME COURT, OR |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Blue Cross and Blue Shields of Florida, Inc. |
| WORKSITE ADDRESS1 | 4800 Deerwood Campus Parkway |
| LCA CASE WORKLOC1 CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32246 |
| LCA CASE WAGE RATE FROM | 73100.0 |
| LCA CASE WAGE RATE TO | 78100.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 73091.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | Y |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | Y |
| STATUTORY BASIS | WAGE |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kennedy |
| PREPARER FIRST NAME | Adaikala Mary |
| PREPARER BUSINESS NAME | Law Offices of Mary Kennedy, LLC |
| PREPARER EMAIL | [email protected] |
