| CASE NUMBER | I-200-23317-498907 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/13/2023 |
| DECISION DATE | 11/20/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Infrastructure Cloud Architect |
| SOC CODE | 15-1217.00 |
| SOC TITLE | Computer Systems Analysts, Non R&D |
| FULL TIME POSITION | Y |
| BEGIN DATE | 5/3/2024 |
| END DATE | 5/2/2027 |
| 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 | Commonwealth Care Alliance Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 30 Winter Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2108 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16174260600 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Hay |
| EMPLOYER POC FIRST NAME | Charlene |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Manager, Immigration & Administrative Service |
| EMPLOYER POC ADDRESS1 | 30 Winter Street (Commonwealth Care Alliance Inc.) |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Boston |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16174260600 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | CHay@commonwealthcare.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Galvin |
| AGENT ATTORNEY FIRST NAME | Mark |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 84 Ship Street |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Providence |
| AGENT ATTORNEY STATE | RI |
| AGENT ATTORNEY POSTAL CODE | 2903 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14018618810 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | galvinesq@aol.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Mark Galvin |
| STATE OF HIGHEST COURT | RI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 30 Winter Street (Commonwealth Care Alliance) |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 2108 |
| WAGE RATE OF PAY FROM | 117559 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $112,278.00 |
| 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 and Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-03-05 |
