| CASE NUMBER | I-200-24291-413662 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/17/2024 |
| DECISION DATE | 10/24/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Manager IT - Data Engineering |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/22/2025 |
| END DATE | 2/21/2028 |
| 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 | REVVITY HEALTH SCIENCES, INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 77 4th Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | WALTHAM |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2451 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17816635746 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 334516 |
| EMPLOYER POC LAST NAME | Philipose |
| EMPLOYER POC FIRST NAME | Vinoy |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Sr. Global Mobility Specialist |
| EMPLOYER POC ADDRESS1 | 77 4th Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Waltham |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2451 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16178174591 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Vinoy.Philipose@revvity.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Song |
| AGENT ATTORNEY FIRST NAME | Susan |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1400 Broadway |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12128917526 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | aklein@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 16 Cree Trail |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Shelton |
| WORKSITE COUNTY | SHELTON CITY |
| WORKSITE STATE | CT |
| WORKSITE POSTAL CODE | 6484 |
| WAGE RATE OF PAY FROM | $141,440.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $142,180.62 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $141,440.00 |
| 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 | Klein |
| PREPARER FIRST NAME | Amanda |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | aklein@fragomen.com |
| BEGIN DATE CONVERTED | 2025-02-22 |
