| LCA CASE NUMBER | I-200-20266-839281 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-22 |
| DECISION DATE | 2020-09-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Solutions Architect |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | Derive LLC |
| EMPLOYER ADDRESS1 | 515 E Grant St |
| EMPLOYER ADDRESS2 | Suite 150 |
| EMPLOYER CITY | Phoenix |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85004 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16027539990 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Garcia |
| EMPLOYER POC FIRST NAME | Luis |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 515 E Grant St |
| EMPLOYER POC ADDRESS2 | Suite 150 |
| EMPLOYER POC CITY | Phoenix |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85004 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16027539990 |
| EMPLOYER POC EMAIL | lgarcia@derivetalent.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Michailov |
| AGENT ATTORNEY FIRST NAME | Dimitar |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 4350 East-West Highway |
| AGENT ATTORNEY ADDRESS2 | Suite 502 |
| AGENT ATTORNEY CITY | Bethesda |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20814 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18888784721.0 |
| AGENT ATTORNEY EMAIL ADDRESS | dimo.michailov@cilawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Capitol Immigration Law Group PLLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2971 Plaza Del Amo |
| WORKSITE ADDRESS2 | Unit 234 |
| LCA CASE WORKLOC1 CITY | Torrance |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90503 |
| LCA CASE WAGE RATE FROM | 140000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 121160.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Michailov |
| PREPARER FIRST NAME | Dimitar |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Capitol Immigration Law Group PLLC |
| PREPARER EMAIL | dimo.michailov@cilawgroup.com |
