| CASE NUMBER | I-200-24276-381454 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/2/2024 |
| DECISION DATE | 10/9/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Sr Business Analyst/Architect - Medicaid/Government Pricing |
| SOC CODE | 11-1021.00 |
| SOC TITLE | General and Operations Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/9/2025 |
| END DATE | 2/8/2028 |
| 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 | IntegriChain, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 8 Penn Center, 1628 JKF Blvd. |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Philadelphia |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16099861520 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541519 |
| EMPLOYER POC LAST NAME | Kozhushchenko |
| EMPLOYER POC FIRST NAME | Victoria |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief People Officer |
| EMPLOYER POC ADDRESS1 | 8 Penn Center, 1628 JFK Blvd. |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Philadelphia |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19103 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12154700480 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | vkozhushchenko@integrichain.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Kumar |
| AGENT ATTORNEY FIRST NAME | Sameer |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1200 US Highway 22 East |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Bridgewater |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8807 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17329851310 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | sameer@kumarlaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Sameer Kumar |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court of New Jersey |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1384A Paterson Plank Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Secaucus |
| WORKSITE COUNTY | HUDSON |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 7094 |
| WAGE RATE OF PAY FROM | $169,600.08 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $128,544.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | Kumar |
| PREPARER FIRST NAME | Sameer |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Law Offices of Sameer Kumar |
| PREPARER EMAIL | sameer@kumarlaw.com |
| BEGIN DATE CONVERTED | 2025-02-09 |
