| CASE NUMBER | I-200-24269-362312 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/25/2024 |
| DECISION DATE | 10/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | ETL Developer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/25/2024 |
| END DATE | 9/24/2027 |
| 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 | Collaborate Solutions Inc |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 415 BOSTON TPKE ROAD |
| EMPLOYER ADDRESS2 | SUITE # 302 |
| EMPLOYER CITY | SHREWSBURY |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1545 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15088454440 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | CHANDRAPU |
| EMPLOYER POC FIRST NAME | TIRU |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 415 BOSTON TPKE ROAD |
| EMPLOYER POC ADDRESS2 | SUITE # 302 |
| EMPLOYER POC CITY | SHREWSBURY |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1545 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15088454440 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | TIRU@COLLABORATESOLUTIONS.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Leuleseged |
| AGENT ATTORNEY FIRST NAME | Aiemero |
| AGENT ATTORNEY MIDDLE NAME | Sefiw |
| AGENT ATTORNEY ADDRESS1 | 802 E Woodfield Road |
| AGENT ATTORNEY ADDRESS2 | Suite G400 |
| AGENT ATTORNEY CITY | Schaumburg |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60173 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18479951515 |
| AGENT ATTORNEY PHONE EXT | 230 |
| AGENT ATTORNEY EMAIL ADDRESS | icert@bizlegalservices.com |
| LAWFIRM NAME BUSINESS NAME | International Legal and Business Services Group LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Railroad Commission of Texas(Remote Work Location) |
| WORKSITE ADDRESS1 | 14265 FAA Blvd |
| WORKSITE ADDRESS2 | Apt#1325 |
| WORKSITE CITY | Fort Worth |
| WORKSITE COUNTY | TARRANT |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 76155 |
| WAGE RATE OF PAY FROM | $105,997.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $105,998.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $105,997.00 |
| 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 | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| 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 | 2024-09-25 |
