| LCA CASE NUMBER | I-200-21105-228606 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-15 |
| DECISION DATE | 2021-04-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Technology Officer |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Persivia, Inc. |
| EMPLOYER ADDRESS1 | 4 Mt. Royal Avenue |
| EMPLOYER ADDRESS2 | Floor 4 |
| EMPLOYER CITY | Marlborough |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1752 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19788564600 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Scott |
| EMPLOYER POC FIRST NAME | Rebecca |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS 1 | 4 Mt. Royal Avenue |
| EMPLOYER POC ADDRESS 2 | Floor 4 |
| EMPLOYER POC CITY | Marlborough |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01752 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19788564600 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Godfrey |
| AGENT ATTORNEY FIRST NAME | Grant |
| AGENT ATTORNEY MIDDLE NAME | W |
| AGENT ATTORNEY ADDRESS1 | 460 Totten Pond Road |
| AGENT ATTORNEY ADDRESS2 | Suite 350 |
| AGENT ATTORNEY CITY | Waltham |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2451 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17818108990 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Parker Gallini LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4 Mt. Royal Avenue |
| WORKSITE ADDRESS2 | Floor 4 |
| LCA CASE WORKLOC1 CITY | Marlborough |
| WORKSITE COUNTY | MARLBOROUGH CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1752 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE TO | 260000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 190757 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Mayotte |
| PREPARER FIRST NAME | Joseph |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Parker Gallini LLP |
| PREPARER EMAIL | [email protected] |
