| CASE NUMBER | I-200-24127-960667 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/6/2024 |
| DECISION DATE | 5/13/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Supervisor Software Development |
| 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 | Noridian Healthcare Solutions |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 4510 13th Ave S, STE1 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Fargo |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17012776548 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Strom |
| EMPLOYER POC FIRST NAME | Lindsey |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Manager Human Resources |
| EMPLOYER POC ADDRESS1 | 4510 13th Ave S, STE1 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Fargo |
| EMPLOYER POC STATE | ND |
| EMPLOYER POC POSTAL CODE | 58103 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17012776548 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Lindsey.Strom@noridian.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Evans |
| AGENT ATTORNEY FIRST NAME | Elizabeth |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 10050 Regency Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14023911991 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Elizabeth.Evans@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis PC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4510 13th Ave S |
| WORKSITE ADDRESS2 | Ste. 1 |
| WORKSITE CITY | Fargo |
| WORKSITE COUNTY | CASS |
| WORKSITE STATE | ND |
| WORKSITE POSTAL CODE | 58103 |
| WAGE RATE OF PAY FROM | 110348.84 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $165,524.30 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $100,568.00 |
| 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 | Smith |
| PREPARER FIRST NAME | Maria |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Jackson Lewis PC |
| PREPARER EMAIL | maria.smith@jacksonlewis.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
