| CASE NUMBER | I-200-24179-155085 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/27/2024 |
| DECISION DATE | 7/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Sr Java Developer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/22/2024 |
| END DATE | 7/21/2027 |
| 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 | Collabrium Systems, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 337 Deaven Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Harrisburg |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17176020368 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541611 |
| EMPLOYER POC LAST NAME | Ray |
| EMPLOYER POC FIRST NAME | Gautam |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director, Operations |
| EMPLOYER POC ADDRESS1 | 337 Deaven Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Harrisburg |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17111 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17176020368 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | gautam.ray@collabriumsystems.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Shihab |
| AGENT ATTORNEY FIRST NAME | Sam |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 565 Metro Place South |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Dublin |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | N/A |
| AGENT ATTORNEY PHONE | +16147910500 |
| AGENT ATTORNEY PHONE EXT | 225 |
| AGENT ATTORNEY EMAIL ADDRESS | govnotice@shihablawoffice.com |
| LAWFIRM NAME BUSINESS NAME | Shihab Burke, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Pennsylvania Department of Transportation (PennDOT) |
| WORKSITE ADDRESS1 | 400 North Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Harrisburg |
| WORKSITE COUNTY | DAUPHIN |
| WORKSITE STATE | PA |
| WORKSITE POSTAL CODE | 17120 |
| WAGE RATE OF PAY FROM | 125,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $106,621.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | $60,000 or higher annual wage |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Shihab |
| PREPARER FIRST NAME | Sam |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Shihab Burke, LLC |
| PREPARER EMAIL | Govnotice@ShihabBurke.com |
| BEGIN DATE CONVERTED | 2025-10-07 |
