| CASE NUMBER | I-200-25038-675627 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/7/2025 |
| DECISION DATE | 2/14/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Full-stack Software Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 5/24/2025 |
| END DATE | 5/23/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | John Hancock Life Insurance Company (USA) |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 200 Berkeley Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2116 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16175726000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524113 |
| EMPLOYER POC LAST NAME | Lambden |
| EMPLOYER POC FIRST NAME | Taylor |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Global Immigration Specialist |
| EMPLOYER POC ADDRESS1 | 500 King Street North |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Waterloo |
| EMPLOYER POC STATE | |
| EMPLOYER POC POSTAL CODE | N2J 4C6 |
| EMPLOYER POC COUNTRY | CANADA |
| EMPLOYER POC PROVINCE | Ontario |
| EMPLOYER POC PHONE | 12267529983 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | taylor_lambden@manulife.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Coffman |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | One Financial Center |
| AGENT ATTORNEY ADDRESS2 | 41st Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MASSACHUSETTS |
| AGENT ATTORNEY PHONE | 16173481890 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | wlcoffman@mintz.com |
| LAWFIRM NAME BUSINESS NAME | Mintz |
| 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 | 39 Queen Isabella Way |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Ashland |
| WORKSITE COUNTY | ASHLAND |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 1721 |
| WAGE RATE OF PAY FROM | $129,505.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $122,970.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| 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 | Bugazia |
| PREPARER FIRST NAME | Naziha |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Mintz |
| PREPARER EMAIL | nbugazia@mintz.com |
| BEGIN DATE CONVERTED | 2025-05-24 |
