| LCA CASE NUMBER | I-200-19326-163141 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-22 |
| DECISION DATE | 2019-12-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Systems Engineer |
| SOC CODE | 15-1133.00 |
| SOC TITLE | Software Developers, Systems Software |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-01 |
| END DATE | 2022-12-31 |
| 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 | DATASERV INC |
| EMPLOYER ADDRESS1 | 1 TARA BLVD |
| EMPLOYER ADDRESS2 | SUITE 102 |
| EMPLOYER CITY | NASHUA |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 03062 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16038214392 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | POTLURI |
| EMPLOYER POC FIRST NAME | ANIL |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 1 TARA BLVD |
| EMPLOYER POC ADDRESS2 | SUITE 102 |
| EMPLOYER POC CITY | NASHUA |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 03062 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16038214392 |
| 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 | CVS Health |
| WORKSITE ADDRESS1 | 356 Clinton st. |
| LCA CASE WORKLOC1 CITY | Woonsocket |
| WORKSITE COUNTY | PROVIDENCE CITY |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 02895 |
| LCA CASE WAGE RATE FROM | 115000.0 |
| LCA CASE WAGE RATE TO | 120000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104832.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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] |
