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Case Number
I-200-18064-274382
1. Indicate the type of visa classification supported by this application (Write classification symbol):
H-1B
1. Job Title
It Analyst Iii
2. SOC (ONET/OES) code
15-1132
3. SOC (ONET/OES) occupation title
Software Developers, Applications
4. Is this a full-time position?
Yes
Period of Intended Employment
5. Begin Date (mm/dd/yyyy)
9/4/2018 12:00:00 AM
6. End Date (mm/dd/yyyy)
9/3/2021 12:00:00 AM
7. Worker positions needed/basis for the visa classification supported by this application
Total Worker Positions Being Requested for Certification
1
1. Legal business name
Ncr Corporation
2. Trade name/Doing Business As (DBA), if applicable
3. Address 1
3097 Satellite Blvd Building 700
10. Telephone number
937-445-6764
12. Federal Employer Identification Number (FEIN from IRS)
13. NAICS code (must be at least 4-digits)
541519
Important Note: The information contained in this Section must be that of an employee of the employer who is authorized to act on behalf of
the employer in labor certification matters. The information in this Section must be different from the agent or attorney information listed in
Section E, unless the attorney is an employee of the employer.
1. Contact's last (family) name
Workman
2. First (given) name
Lissa
4. Contact's job title
Manager, Global Mobility
5. Address 1
3097 Satellite Blvd - Building 700
12. Telephone number
678-808-5996
14. E-Mail address
Ncr.immigration@ncr.com
1. Is the employer represented by an attorney or agent in the filing of this application? If "Yes", complete the remainder of Section E below.
2. Attorney or Agent's last (family) name
Van Stiphout
3. First (given) name
Monique
5. Address 1
1800 Massachusetts Ave Suite 300
12. Telephone number
2024830053
14. E-Mail address
Mvanstiphout@maggio-kattar.com
15. Law firm/Business name
Maggio Kattar
16. Law firm/Business FEIN
17. State Bar number (only if attorney)
DC458228
18. State of highest court where attorney is in good standing (only if attorney)
District Of Columbia
19. Name of the highest court where attorney is in good standing (only if attorney)
Court Of Appeals
1. Wage Rate (Required)
From: $
74,500.00
To: $
96,000.00
2. Per: (Choose only one)
Year
1. Address 1
864 Spring Street Nw
5. State/District/Territory
Georgia
7. Agency which issued prevailing wage
7a. Prevailing wage tracking number (if applicable)
8. Wage level
9. Prevailing wage
$ 74,500.00
10. Per: (Choose only one)
11. Prevailing wage source (Choose only one)
Other
11a. Year source published
2017
11b. If "OES", and SWA/NPC did not issue prevailing wage OR "Other" in question 11, specify source
1. Is the employer H-1B dependent?
No
2. Is the employer a willful violator?No
3. If "Yes" is marked in questions I.1 and/or I.2, you must answer "Yes" or "No" regarding whether the
employer will use this application ONLY to support H-1B petitions or extensions of status for exempt H-1B
nonimmigrants?
If you marked "Yes" to questions I.1 and/or I.2 and "No" to question I.3, you MUST read Section I - Subsection 2 of the Labor
Condition Application - General Instructions Form ETA 9035CP under the heading "Additional Employer Labor Condition
Statements" and indicate your agreement to all three (3) additional statements summarized below.
- Displacement: Non-displacement of the U.S. workers in the employer's workforce
- Secondary Displacement: Non-displacement of U.S. workers in another employer's workforce; and
- Recruitment and Hiring: Recruitment of U.S. workers and hiring of U.S. workers applicant(s) who are equally or better qualified than the H-1B nonimmigrant(s).
4. I have read and agree to Additional Employer Labor Condition Statements A, B, and C above and as fully explained in Section I - Subsections 1 and 2 of the Labor Condition Application - General Instructions Form ETA 9035CP.
- Yes
- No
1. Last (family) name of hiring or designated official
Workman
2. First (given) name of hiring or designated official
Lissa
4. Hiring or designated official title
Manager, Global Mobility
1. Last (family) name
Van Stiphout
2. First (given) name
Monique
4. Firm/Business name
Maggio Kattar
5. E-Mail address
Mvanstiphout@maggio-kattar.com
By virtue of the signature below, the Department of Labor hereby acknowledges the following:
This certification is valid
From 9/4/2018 12:00:00 AM
To 9/3/2021 12:00:00 AM
Department of Labor, Office of Foreign Labor Certification
Determination Date (date signed)
3/5/2018 12:00:00 AM
Case Number
I-200-18064-274382
The Department of Labor is not the guarantor of the accuracy, truthfulness, or adequacy of a certified LCA.
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