| LCA CASE NUMBER | I-200-25245-280130 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-09-02 |
| DECISION DATE | 2025-09-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Embedded Software Engineer |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-10-01 |
| END DATE | 2028-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Insulet Corporation |
| EMPLOYER ADDRESS1 | 100 Nagog Park |
| EMPLOYER CITY | Acton |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01720 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19786007000 |
| EMPLOYER FEIN | 04-3523891 |
| NAICS CODE | 325412 |
| EMPLOYER POC LAST NAME | KOLAKOWSKI |
| EMPLOYER POC FIRST NAME | Kay |
| EMPLOYER POC JOB TITLE | Manager - Immigration and Global Mobility |
| EMPLOYER POC ADDRESS1 | 100 Nagog Park |
| EMPLOYER POC CITY | Acton |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01720 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19786007000 |
| EMPLOYER POC EMAIL | kkolakowski@insulet.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kommineni |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 100 High Street |
| AGENT ATTORNEY ADDRESS2 | 3rd Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16175740400 |
| AGENT ATTORNEY EMAIL ADDRESS | cgaro@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| LAWFIRM BUSINESS FEIN | 13-2726464 |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2040 E State Highway 121 Business |
| WORKSITE ADDRESS2 | Apt. #2030 |
| LCA CASE WORKLOC1 CITY | Lewisville |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75056 |
| LCA CASE WAGE RATE FROM | 84068.6 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 72550 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2025 - 6/30/2026 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | GARO |
| PREPARER FIRST NAME | Cindy |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | cgaro@fragomen.com |