| CASE NUMBER | I-200-24270-368010 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/26/2024 |
| DECISION DATE | 10/3/2024 |
| 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 | 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 | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | RELYCOM INC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 9 Davison Ave |
| EMPLOYER ADDRESS2 | Suite 6 |
| EMPLOYER CITY | Jamesburg |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8831 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19084622831 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | LANKA |
| EMPLOYER POC FIRST NAME | PAWANKUMAR |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 9 Davison Ave |
| EMPLOYER POC ADDRESS2 | Suite 6 |
| EMPLOYER POC CITY | Jamesburg |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 8831 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19084622831 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | PAVAN@RELYCOM.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Tewary |
| AGENT ATTORNEY FIRST NAME | Akshat |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1974 State Route 27 |
| AGENT ATTORNEY ADDRESS2 | P. O. Box 996 |
| AGENT ATTORNEY CITY | Edison |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8818 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17322870080 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | office@tewary.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Kamlesh Tewary, P.C. |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | New Jersey Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Cigna |
| WORKSITE ADDRESS1 | 1640 Dallas Pkwy |
| WORKSITE ADDRESS2 | 4th Floor |
| WORKSITE CITY | Plano |
| WORKSITE COUNTY | COLLIN |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 75093 |
| WAGE RATE OF PAY FROM | $90,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $84,094.00 |
| 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 | 1 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-10-14 |
