| LCA CASE NUMBER | I-200-21214-495365 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-02 |
| DECISION DATE | 2021-08-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | QA Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-02-01 |
| END DATE | 2025-01-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Quality Matrix Inc |
| EMPLOYER ADDRESS1 | 8 Lyman St |
| EMPLOYER ADDRESS2 | Suite 210 |
| EMPLOYER CITY | Westborough |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1581 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15086160099 |
| EMPLOYER PHONE EXT | 305 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Sullivan |
| EMPLOYER POC FIRST NAME | Shana |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS1 | 8 Lyman St |
| EMPLOYER POC ADDRESS2 | Suite 210 |
| EMPLOYER POC CITY | Westborough |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1581 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15086160099 |
| EMPLOYER POC PHONE EXT | 305 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | CVS Health |
| WORKSITE ADDRESS2 | 1 CVS Drive |
| LCA CASE WORKLOC1 CITY | Woonsocket |
| WORKSITE COUNTY | PROVIDENCE CITY |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 2895 |
| LCA CASE WAGE RATE FROM | 91520 |
| LCA CASE WAGE RATE TO | 91521 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 91520 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B 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 and Employment |
| PREPARER LAST NAME | Sullivan |
| PREPARER FIRST NAME | Shana |
| PREPARER BUSINESS NAME | Quality Matrix Inc |
| PREPARER EMAIL | [email protected] |
