| CASE NUMBER | I-200-24331-501218 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/26/2024 |
| DECISION DATE | 12/4/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | SOFTWARE DEVELOPER |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 12/9/2024 |
| END DATE | 12/8/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | POULOMI TECHNOLOGIES, INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | BRIER HILL COURT |
| EMPLOYER ADDRESS2 | BUILDING C, SUITE 207 |
| EMPLOYER CITY | EAST BRUNSWICK |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8816 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17326473972 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | THADAKAMADLA |
| EMPLOYER POC FIRST NAME | MAHIPAL |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | BRIER HILL COURT |
| EMPLOYER POC ADDRESS2 | BUILDING C, SUITE 207 |
| EMPLOYER POC CITY | EAST BRUNSWICK |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 8816 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17326473972 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | MAHIPAL@POULOMISOLUTIONS.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Tadmor |
| AGENT ATTORNEY FIRST NAME | Yoav |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1320 Centre Street |
| AGENT ATTORNEY ADDRESS2 | Suite 303 |
| AGENT ATTORNEY CITY | Newton Center |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2459 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15087919400 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | yoav@tadmorlaw.com |
| LAWFIRM NAME BUSINESS NAME | Tadmor & Tadmor LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Enhabit Home Health & Hospice |
| WORKSITE ADDRESS1 | 23702 FM 1093 Road |
| WORKSITE ADDRESS2 | Apt # 911 |
| WORKSITE CITY | Richmond |
| WORKSITE COUNTY | DALLAS |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 77406 |
| WAGE RATE OF PAY FROM | $127,878.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $127,878.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | $60,000 or higher annual wage |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-12-09 |
