| CASE NUMBER | I-200-24226-263982 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/13/2024 |
| DECISION DATE | 8/20/2024 |
| 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 | 9/23/2024 |
| END DATE | 9/22/2027 |
| 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 | EPAM Systems Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 41 University Drive |
| EMPLOYER ADDRESS2 | Suite 202 |
| EMPLOYER CITY | Newtown |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18940 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12677599000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Bobin |
| EMPLOYER POC FIRST NAME | Olga |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Director, Talent Mobility |
| EMPLOYER POC ADDRESS1 | 41 University Drive |
| EMPLOYER POC ADDRESS2 | Suite 202 |
| EMPLOYER POC CITY | Newtown |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18940 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12677599000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | WFARelocationUS@epam.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Pack |
| AGENT ATTORNEY FIRST NAME | James |
| AGENT ATTORNEY MIDDLE NAME | Young Ho |
| AGENT ATTORNEY ADDRESS1 | 18401 Von Karman Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 255 |
| AGENT ATTORNEY CITY | Irvine |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | N/A |
| AGENT ATTORNEY PHONE | +19492610209 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | EPAMNIV@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2175 Aborn Road |
| WORKSITE ADDRESS2 | Apt H-157 |
| WORKSITE CITY | San Jose |
| WORKSITE COUNTY | SANTA CLARA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 95121 |
| WAGE RATE OF PAY FROM | 133,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $132,458.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2023 |
| PW SURVEY PUBLISHER | Willis Towers Watson |
| PW SURVEY NAME | Gen. Industry IT Report ? System Software Dev. ? AID040-P2 |
| 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 | FAABORG |
| PREPARER FIRST NAME | JOHANNA |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | FRAGOMEN |
| PREPARER EMAIL | JFAABORG@FRAGOMEN.COM |
| BEGIN DATE CONVERTED | 2025-11-09 |
