| CASE NUMBER | I-200-24002-608749 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/2/2024 |
| DECISION DATE | 1/9/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Software Engineer II |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 5/24/2024 |
| END DATE | 5/23/2027 |
| 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 | Staples, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 500 Staples Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Framingham |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1702 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15082535000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 459410 |
| EMPLOYER POC LAST NAME | Forden / Kourtz |
| EMPLOYER POC FIRST NAME | Nathan / Amanda |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Manager, Compensation / Benefits Analyst, USR |
| EMPLOYER POC ADDRESS1 | 500 Staples Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Framingham |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1702 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15082533226 |
| 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 | 2110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16175740400 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | beckelkamp@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 | 1702 |
| WAGE RATE OF PAY FROM | 170208.76 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $157,643.00 |
| 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 | Eckelkamp |
| PREPARER FIRST NAME | Brian |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | beckelkamp@fragomen.com |
| BEGIN DATE CONVERTED | 2025-12-05 |
