| CASE NUMBER | I-200-25031-658361 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/31/2025 |
| DECISION DATE | 2/7/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Staff Controls Engineer |
| SOC CODE | 17-2199.08 |
| SOC TITLE | Robotics Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/1/2025 |
| END DATE | 7/31/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Insulet Corporation |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 100 Nagog Park |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Acton |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1720 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19786007000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 325412 |
| EMPLOYER POC LAST NAME | Kolakowski |
| EMPLOYER POC FIRST NAME | Kay |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Manager - Immigration and Global Mobility |
| EMPLOYER POC ADDRESS1 | 100 Nagog Park |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Acton |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1720 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19786007000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | kkolakowski@insulet.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Kommineni |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY MIDDLE NAME | M. |
| 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 | cgaro@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 | 100 Nagog Park |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Acton |
| WORKSITE COUNTY | ACTON |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 1720 |
| WAGE RATE OF PAY FROM | $150,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $125,424.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | Garo |
| PREPARER FIRST NAME | Cindy |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fragomen, Del Rey ,Bernsen & Loewy, LLP |
| PREPARER EMAIL | cgaro@fragomen.com |
| BEGIN DATE CONVERTED | 2025-08-01 |
