| CASE NUMBER | I-200-25029-651341 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/29/2025 |
| DECISION DATE | 2/5/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Software Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/29/2025 |
| END DATE | 1/28/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | PROVIDENZ LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 11120 Dovedale Ct |
| EMPLOYER ADDRESS2 | Suite A |
| EMPLOYER CITY | Marriottsville |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16672391818 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Kurup |
| EMPLOYER POC FIRST NAME | Mini |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | General Manager |
| EMPLOYER POC ADDRESS1 | 11120 Dovedale Ct |
| EMPLOYER POC ADDRESS2 | Suite A |
| EMPLOYER POC CITY | Marriottsville |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16672391818 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | immi@providenzllc.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Wilson-Keith |
| AGENT ATTORNEY FIRST NAME | Samantha |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 15875 Middlebelt Rd |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Livonia |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48154 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12483548440 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | smw@boudia.com |
| LAWFIRM NAME BUSINESS NAME | John J. Boudia & Associates, P.L.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | State of Maryland Department of Human Services |
| WORKSITE ADDRESS1 | 849 International Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Linthicum Heights |
| WORKSITE COUNTY | ANNE ARUNDEL |
| WORKSITE STATE | MD |
| WORKSITE POSTAL CODE | 21090 |
| WAGE RATE OF PAY FROM | $98,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $97,614.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | Wilson-Keith |
| PREPARER FIRST NAME | Samantha |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | John J. Boudia & Associates, P.L.C. |
| PREPARER EMAIL | smw@boudia.com |
| BEGIN DATE CONVERTED | 2025-01-29 |
