| LCA CASE NUMBER | I-200-20139-582240 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-18 |
| DECISION DATE | 2020-05-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Engineer/ Programmer/ Project Lead |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-18 |
| END DATE | 2023-05-17 |
| 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 | Provation Medical, Inc. |
| TRADE NAME DBA | Provation |
| EMPLOYER ADDRESS1 | 533 S. 3rd St. |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Minneapolis |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55415 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16123131500 |
| NAICS CODE | 541512 |
| EMPLOYER POC LAST NAME | Hanson |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC JOB TITLE | VP of Human Resources |
| EMPLOYER POC ADDRESS1 | 533 S. 3rd St. |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Minneapolis |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55415 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16122377100 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Lo |
| AGENT ATTORNEY FIRST NAME | Tzu-Kai |
| AGENT ATTORNEY ADDRESS1 | 333 W Wacker Drive |
| AGENT ATTORNEY ADDRESS2 | 15th Floor |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13122636101.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen Del Rey Bernsen & Loewy LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1110 S. Ave. |
| WORKSITE ADDRESS2 | Suite 303 |
| LCA CASE WORKLOC1 CITY | Staten Island |
| WORKSITE COUNTY | RICHMOND |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10314 |
| LCA CASE WAGE RATE FROM | 110000.0 |
| LCA CASE WAGE RATE TO | 150000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 96595.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Toyama |
| PREPARER FIRST NAME | Jarrett |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | [email protected] |
