| CASE NUMBER | I-200-24276-380728 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/2/2024 |
| DECISION DATE | 10/9/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Lead Quality Assurance Engineer |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/14/2024 |
| END DATE | 10/13/2027 |
| 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 | Zelis Healthcare, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 149 Newbury Street |
| EMPLOYER ADDRESS2 | 5th Floor |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2116 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18883113505 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524291 |
| EMPLOYER POC LAST NAME | Campbell |
| EMPLOYER POC FIRST NAME | Jodi |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | VP, Managing Counsel, P&C |
| EMPLOYER POC ADDRESS1 | 340 Mt. Kemble Avenue |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Morristown |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7960 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19083968175 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Jodi.Campbell@zelis.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Rissman |
| AGENT ATTORNEY FIRST NAME | Glenn |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 200 East Las Olas Boulevard |
| AGENT ATTORNEY ADDRESS2 | Suite 2100 |
| AGENT ATTORNEY CITY | Fort Lauderdale |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19547669709 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | grissman@stearnsweaver.com |
| LAWFIRM NAME BUSINESS NAME | Stearns Weaver Miller Weissler Alhadeff & Sitterson, P.A. |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2528 Baldwin Place |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Blaine |
| WORKSITE COUNTY | WHATCOM |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98230 |
| WAGE RATE OF PAY FROM | $142,270.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $102,586.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-10-14 |
