| CASE NUMBER | I-200-23265-375407 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/22/2023 |
| DECISION DATE | 9/29/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | VP Product Management II |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/1/2024 |
| END DATE | 2/28/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Fiserv Solutions, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | Fiserv, Inc., 255 Fiserv Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Brookfield |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53045 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12628795000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 51821 |
| EMPLOYER POC LAST NAME | Adams |
| EMPLOYER POC FIRST NAME | Katherine |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP, Human Resources, Global Mobility & Payroll |
| EMPLOYER POC ADDRESS1 | Fiserv, Inc., 255 Fiserv Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Brookfield |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53045 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12628795000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | katie.adams@fiserv.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Davis |
| AGENT ATTORNEY FIRST NAME | Samantha |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1101 15TH STREET, NORTHWEST |
| AGENT ATTORNEY ADDRESS2 | SUITE 700 |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20005 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12022235515 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | LCATeamPham@Fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF VIRGINIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 100 Connell Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Berkeley Heights |
| WORKSITE COUNTY | UNION |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 07922 |
| WAGE RATE OF PAY FROM | 262621 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $354,200.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $262,621.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kuruvilla |
| PREPARER FIRST NAME | Neenu |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | LCATeamPham@fragomen.com |
| BEGIN DATE CONVERTED | 2024-01-03 |
