| LCA CASE NUMBER | I-200-20280-860904 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-06 |
| DECISION DATE | 2020-10-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Business System Analyst |
| SOC CODE | 15-1121.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-12 |
| END DATE | 2023-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | i5 TECH INC |
| EMPLOYER ADDRESS1 | 3 ETHEL ROAD |
| EMPLOYER ADDRESS2 | SUITE 306 |
| EMPLOYER CITY | EDISON |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8817 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16096660030 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | MANDIPUDI |
| EMPLOYER POC FIRST NAME | SRINIVAS |
| EMPLOYER POC MIDDLE NAME | RAO |
| EMPLOYER POC JOB TITLE | DIRECTOR |
| EMPLOYER POC ADDRESS 1 | 3 ETHEL ROAD |
| EMPLOYER POC ADDRESS 2 | SUITE 306 |
| EMPLOYER POC CITY | EDISON |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 08817 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16096660030 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Wellmark / Blue Cross Blue Shield |
| WORKSITE ADDRESS1 | 1331 Grand Avenue |
| LCA CASE WORKLOC1 CITY | Des Moines |
| WORKSITE COUNTY | POLK |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 50306 |
| LCA CASE WAGE RATE FROM | 96500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 72405 |
| 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 | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| PUBLIC DISCLOSURE | Disclose Business |
