| CASE NUMBER | I-200-24179-155331 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/27/2024 |
| DECISION DATE | 7/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Software Engineer III |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/6/2024 |
| END DATE | 7/5/2027 |
| 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 | Staples, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 500 Staples Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Framingham |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01702 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +15082535000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 459410 |
| EMPLOYER POC LAST NAME | KOURTZ / FONDREN |
| EMPLOYER POC FIRST NAME | Amanda / Nathan |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Benefits Analyst, USR / Senior Manager Compensation |
| EMPLOYER POC ADDRESS1 | 500 Staples Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Framingham |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01702 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +15082535000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Immigration@staples.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Robins |
| AGENT ATTORNEY FIRST NAME | Kate |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 100 High Street |
| AGENT ATTORNEY ADDRESS2 | 3rd Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16175740400 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mpecci@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy,LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 500 Staples Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Framingham |
| WORKSITE COUNTY | FRAMINGHAM |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 01702 |
| WAGE RATE OF PAY FROM | 174,250.49 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $135,304.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | Pecci |
| PREPARER FIRST NAME | Merrill |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fragomen, Del Rey ,Bernsen & Loewy, LLP |
| PREPARER EMAIL | mpecci@fragomen.com |
| BEGIN DATE CONVERTED | 2024-06-07 |
