| LCA CASE NUMBER | I-200-23167-117229 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-16 |
| DECISION DATE | 2023-06-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Derivita Inc. |
| EMPLOYER ADDRESS1 | 50 W. Broadway |
| EMPLOYER ADDRESS2 | Ste 333 |
| EMPLOYER CITY | Salt Lake City |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18012305869 |
| NAICS CODE | 518210 |
| EMPLOYER POC LAST NAME | Humphrey |
| EMPLOYER POC FIRST NAME | Brad |
| EMPLOYER POC JOB TITLE | Director of Software Engineer |
| EMPLOYER POC ADDRESS1 | 50 W. Broadway |
| EMPLOYER POC ADDRESS2 | Ste 333 |
| EMPLOYER POC CITY | Salt Lake City |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18012305869 |
| EMPLOYER POC EMAIL | brad@derivita.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sung |
| AGENT ATTORNEY FIRST NAME | Jack |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 2975 Wilshire Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 352 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13233808034 |
| AGENT ATTORNEY EMAIL ADDRESS | jack.c.sung@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Jack C. Sung |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 50 W. Broadway |
| WORKSITE ADDRESS2 | Ste 333 |
| LCA CASE WORKLOC1 CITY | Salt Lake City |
| WORKSITE COUNTY | UTAH |
| LCA CASE WORKLOC1 STATE | UT |
| WORKSITE POSTAL CODE | 84101 |
| LCA CASE WAGE RATE FROM | 75000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 65811 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
