| LCA CASE NUMBER | I-200-25072-771927 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-03-13 |
| DECISION DATE | 2025-03-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Engineer |
| SOC CODE | 15-1252 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-09-12 |
| END DATE | 2028-09-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | PROVIDENZ LLC |
| EMPLOYER ADDRESS1 | 11120 Dovedale Ct |
| EMPLOYER ADDRESS2 | Suite A |
| EMPLOYER CITY | Marriottsville |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16672391818 |
| EMPLOYER FEIN | 84-1854158 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Kurup |
| EMPLOYER POC FIRST NAME | Mini |
| EMPLOYER POC JOB TITLE | General Manager |
| EMPLOYER POC ADDRESS1 | 11120 Dovedale Ct |
| EMPLOYER POC ADDRESS2 | Suite A |
| EMPLOYER POC CITY | Marriottsville |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16672391818 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wilson-Keith |
| AGENT ATTORNEY FIRST NAME | Samantha |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 15875 Middlebelt Rd |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Livonia |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48154 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12483548440 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | John J. Boudia & Associates, P.L.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Preferred Mutual Insurance Company |
| WORKSITE ADDRESS1 | telecommuting from 2155 Olympus Blvd, apt 2207 |
| LCA CASE WORKLOC1 CITY | Dallas |
| WORKSITE COUNTY | DALLAS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75019 |
| LCA CASE WAGE RATE FROM | 84500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 84094 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| 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 | Wilson-Keith |
| PREPARER FIRST NAME | Samantha |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | John J. Boudia & Associates, P.L.C. |
| PREPARER EMAIL | [email protected] |