| LCA CASE NUMBER | I-200-21113-252751 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-04-23 |
| DECISION DATE | 2021-08-24 |
| ORIGINAL CERT DATE | 2021-04-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-26 |
| END DATE | 2024-04-25 |
| 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 | Blue Sage Solutions, LLC |
| EMPLOYER ADDRESS1 | 270 Sylvan Avenue |
| EMPLOYER ADDRESS2 | Suite 1150 |
| EMPLOYER CITY | Englewood Cliffs |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7632 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19146292895 |
| NAICS CODE | 511210 |
| EMPLOYER POC LAST NAME | LaBosco |
| EMPLOYER POC FIRST NAME | Jean |
| EMPLOYER POC MIDDLE NAME | Marie |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 270 Sylvan Avenue |
| EMPLOYER POC ADDRESS2 | Suite 1150 |
| EMPLOYER POC CITY | Englewood Cliffs |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7632 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19146292895 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khanna |
| AGENT ATTORNEY FIRST NAME | Rajiv |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 5225 Wilson Blvd. |
| AGENT ATTORNEY CITY | Arlington |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22205 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12029091110 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Rajiv S. Khanna, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Beneficiary's Home Office |
| WORKSITE ADDRESS1 | 6900 Preston Road |
| WORKSITE ADDRESS2 | Apt 924 |
| LCA CASE WORKLOC1 CITY | Plano |
| WORKSITE COUNTY | COLLIN |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75024 |
| LCA CASE WAGE RATE FROM | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 127150 |
| 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 |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Singh |
| PREPARER FIRST NAME | Mukesh |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | Law Offices of Rajiv S. Khanna, PC |
| PREPARER EMAIL | [email protected] |
