| LCA CASE NUMBER | I-200-23108-944004 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-18 |
| DECISION DATE | 2023-04-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Applications Developer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-06-12 |
| END DATE | 2026-06-11 |
| 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 | Numbers Only, Inc. |
| EMPLOYER ADDRESS1 | 1848 Norwood Plaza |
| EMPLOYER ADDRESS2 | Suite 112 |
| EMPLOYER CITY | Hurst |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76054 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18172516200 |
| NAICS CODE | 541519 |
| EMPLOYER POC LAST NAME | Polavarapu |
| EMPLOYER POC FIRST NAME | Sharmila |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 1848 Norwood Plaza |
| EMPLOYER POC ADDRESS2 | Suite 112 |
| EMPLOYER POC CITY | Hurst |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76054 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18172516200 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Simovski |
| AGENT ATTORNEY FIRST NAME | Nicole |
| AGENT ATTORNEY MIDDLE NAME | Christina |
| AGENT ATTORNEY ADDRESS1 | 580 Kirts Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 307 |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12484391595 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Siegel, Gross & Tou, P.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Blue Cross Blue Shield of Michigan (BCBS of MI) |
| WORKSITE ADDRESS1 | 441 E. Jefferson Ave. |
| LCA CASE WORKLOC1 CITY | Detroit |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48226 |
| LCA CASE WAGE RATE FROM | 85405 |
| LCA CASE WAGE RATE TO | 90000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85405 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | $60,000 or higher annual wage |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Simovski |
| PREPARER FIRST NAME | Nicole |
| PREPARER MIDDLE INITIAL | C. |
| PREPARER BUSINESS NAME | Siegel, Gross & Tou, P.C. |
| PREPARER EMAIL | [email protected] |
