| CASE NUMBER | I-200-24290-411087 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/16/2024 |
| DECISION DATE | 10/23/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | HRIS Business Analyst II |
| SOC CODE | 13-1111.00 |
| SOC TITLE | Management Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/1/2025 |
| END DATE | 1/31/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Arbella Insurance Group |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1100 Crown Colony Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Quincy |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2169 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16173282800 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Lynch |
| EMPLOYER POC FIRST NAME | Carla |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Talent Acquisition Manager |
| EMPLOYER POC ADDRESS1 | 1100 Crown Colony Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Quincy |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2169 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16173282922 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | carla.lynch@arbella.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 | 1100 Crown Colony Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Quincy |
| WORKSITE COUNTY | QUINCY CITY |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 2269 |
| WAGE RATE OF PAY FROM | $103,500.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $81,536.00 |
| 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 | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Walton |
| PREPARER FIRST NAME | Sonia |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Mintz |
| PREPARER EMAIL | sewalton@mintz.com |
| BEGIN DATE CONVERTED | 2025-02-01 |
