| CASE NUMBER | I-200-24016-643727 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/16/2024 |
| DECISION DATE | 1/23/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior PHP/Java Developer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/1/2024 |
| END DATE | 1/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Qualtryx, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 8161 Maple Lawn Boulevard |
| EMPLOYER ADDRESS2 | Suite 320 |
| EMPLOYER CITY | Fulton |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20759 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16468749811 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541512 |
| EMPLOYER POC LAST NAME | Kapoor |
| EMPLOYER POC FIRST NAME | Cameron |
| EMPLOYER POC MIDDLE NAME | Prakash |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 8161 Maple Lawn Boulevard |
| EMPLOYER POC ADDRESS2 | Suite 320 |
| EMPLOYER POC CITY | Fulton |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20759 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16468749811 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Cameron.Kapoor@qualtryx.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Young |
| AGENT ATTORNEY FIRST NAME | Becki |
| AGENT ATTORNEY MIDDLE NAME | Lynn |
| AGENT ATTORNEY ADDRESS1 | 8737 Colesville Road |
| AGENT ATTORNEY ADDRESS2 | Suite 500 |
| AGENT ATTORNEY CITY | Silver Spring |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20910 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13019176900 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | byoung@grossmanyoung.com |
| LAWFIRM NAME BUSINESS NAME | Grossman Young & Hammond, LLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 8161 Maple Lawn Boulevard |
| WORKSITE ADDRESS2 | Suite 320 |
| WORKSITE CITY | Fulton |
| WORKSITE COUNTY | HOWARD |
| WORKSITE STATE | MD |
| WORKSITE POSTAL CODE | 20759 |
| WAGE RATE OF PAY FROM | 140000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $114,941.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-02 |
