| CASE NUMBER | I-200-24324-485548 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/19/2024 |
| DECISION DATE | 11/26/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | DevOps Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 12/1/2024 |
| END DATE | 11/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | HEADSTREAM INC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 5301 LIMESTONE ROAD, SUITE 204 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | WILMINGTON |
| EMPLOYER STATE | DE |
| EMPLOYER POSTAL CODE | 19808 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13023560156 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | PRATHAPAGIRI |
| EMPLOYER POC FIRST NAME | ARAVIND |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 5301 LIMESTONE ROAD, SUITE 204 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | WILMINGTON |
| EMPLOYER POC STATE | DE |
| EMPLOYER POC POSTAL CODE | 19808 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13033560156 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | VICTOR@HEADSTREAMINC.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | BOUDIA |
| AGENT ATTORNEY FIRST NAME | JOHN |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 15875 MIDDLEBELT ROAD |
| 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 PROVINCE | |
| AGENT ATTORNEY PHONE | 12483548440 |
| AGENT ATTORNEY PHONE EXT | 206 |
| AGENT ATTORNEY EMAIL ADDRESS | LCA@BOUDIA.COM |
| LAWFIRM NAME BUSINESS NAME | JOHN J. BOUDIA & ASSOCIATES PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | MICHIGAN SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Telecommuter to Collabera |
| WORKSITE ADDRESS1 | 5 Sweet Bay Ct. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Monroe Township |
| WORKSITE COUNTY | MIDDLESEX |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 08831-5330 |
| WAGE RATE OF PAY FROM | $125,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $123,656.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| 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 | 2024-12-01 |
