| CASE NUMBER | I-200-24176-143403 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/24/2024 |
| DECISION DATE | 7/1/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Software Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| 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 | HealthiPASS, Inc |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1111 W. 22nd Street |
| EMPLOYER ADDRESS2 | Suite 222 |
| EMPLOYER CITY | Oak Brook |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60523 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18554844727 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Benitez |
| EMPLOYER POC FIRST NAME | Claudia |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS1 | 1111 W. 22nd Street |
| EMPLOYER POC ADDRESS2 | Suite 222 |
| EMPLOYER POC CITY | Oak Brook |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60523 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +18554844727 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | claudia.benitez@spherecommerce.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | DAMMANNA |
| AGENT ATTORNEY FIRST NAME | GEETA |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 4201 SPRING VALLEY RD. |
| AGENT ATTORNEY ADDRESS2 | SUITE 380 |
| AGENT ATTORNEY CITY | DALLAS |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75244 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +19722007228 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | GEETA@DAMMANNALAW.COM |
| LAWFIRM NAME BUSINESS NAME | Dammanna Law, PC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | C/o Authorized Remote Location (Beneficiary's Home) |
| WORKSITE ADDRESS2 | 4060 FLOWERING STREAM WAY |
| WORKSITE CITY | OVIEDO |
| WORKSITE COUNTY | SEMINOLE |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 32766 |
| WAGE RATE OF PAY FROM | 135,221.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $135,221.00 |
| 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 | 1 |
| 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 | Dammanna |
| PREPARER FIRST NAME | Geeta |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Dammanna Law, PC |
| PREPARER EMAIL | geeta@dammannalaw.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
