| LCA CASE NUMBER | I-200-16308-988778 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 11/4/2016 |
| DECISION DATE | 11/10/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 11/14/2016 |
| EMPLOYMENT END DATE | 11/14/2019 |
| LCA CASE EMPLOYER NAME | QUALTRICS, LLC |
| EMPLOYER ADDRESS | 333 RIVER PARK DRIVE |
| EMPLOYER CITY | PROVO |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8018509736 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KUHAGEN, SCOTT |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | SOFTWARE ENGINEER III |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAICS CODE | 541511 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 138,965.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 150,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | SEATTLE |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98104 |
