\ H1B CASE NUMBER I-200-22116-107477



CASE NUNBER: I-200-22116-107477

LCA CASE NUMBERI-200-22116-107477
STATUSCertified - Withdrawn
LCA CASE SUBMIT2022-04-26
DECISION DATE2022-09-08
ORIGINAL CERT DATE2022-05-03
VISA CLASSH-1B
LCA CASE JOB TITLEApplication Developer III
SOC CODE15-1132.00
SOC TITLESoftware Developers, Applications
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2022-05-01
END DATE2025-04-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION1
LCA CASE EMPLOYER NAMECareSource Management Services, LLC
EMPLOYER ADDRESS1230 North Main Street
EMPLOYER CITYDayton
EMPLOYER STATEOH
EMPLOYER POSTAL CODE45402
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE19375312266
NAICS CODE923120
EMPLOYER POC LAST NAMESturgis
EMPLOYER POC FIRST NAMEKatie
EMPLOYER POC JOB TITLEDirector, Talent Acquisition
EMPLOYER POC ADDRESS1230 North Main Street
EMPLOYER POC CITYDayton
EMPLOYER POC STATEOH
EMPLOYER POC POSTAL CODE45402
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE19375312266
EMPLOYER POC EMAIL[email protected]
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEAjmera
AGENT ATTORNEY FIRST NAMESujata
AGENT ATTORNEY ADDRESS1720 Brazos Street
AGENT ATTORNEY ADDRESS2Ste. 700
AGENT ATTORNEY CITYAustin
AGENT ATTORNEY STATETX
AGENT ATTORNEY POSTAL CODE78701
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE15124993605
AGENT ATTORNEY EMAIL ADDRESS[email protected]
LAWFIRM NAME BUSINESS NAMEClark Hill PLC
STATE OF HIGHEST COURTTX
NAME OF HIGHEST STATE COURTTexas Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11895 Melinda Ln
LCA CASE WORKLOC1 CITYFarmers Branch
WORKSITE COUNTYDALLAS
LCA CASE WORKLOC1 STATETX
WORKSITE POSTAL CODE75234
LCA CASE WAGE RATE FROM111176
LCA CASE WAGE RATE TO122700
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE111176
PW UNIT OF PAYYear
PW WAGE LEVELIII
PW OES YEAR7/1/2021 - 6/30/2022
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEGarcia
PREPARER FIRST NAMENina
PREPARER MIDDLE INITIALC
PREPARER BUSINESS NAMEClark Hill PLC
PREPARER EMAIL[email protected]