| LCA CASE NUMBER | I-200-21004-992637 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-04 |
| DECISION DATE | 2021-01-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Assurance Manager |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-11 |
| END DATE | 2024-01-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Ciitizen Corporation |
| TRADE NAME DBA | Ciitizen |
| EMPLOYER ADDRESS1 | 3000 El Camino Real |
| EMPLOYER ADDRESS2 | Building 3, Suite 120 |
| EMPLOYER CITY | Palo Alto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94306 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16502726534 |
| NAICS CODE | 54171 |
| EMPLOYER POC LAST NAME | Sand |
| EMPLOYER POC FIRST NAME | Adam |
| EMPLOYER POC JOB TITLE | General Counsel |
| EMPLOYER POC ADDRESS 1 | 3000 El Camino Real |
| EMPLOYER POC ADDRESS 2 | Building 3, Suite 120 |
| EMPLOYER POC CITY | Palo Alto |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94306 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14155728080 |
| EMPLOYER POC EMAIL | adam@ciitizen.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Drummond |
| AGENT ATTORNEY FIRST NAME | Ilana |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 909 Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159864559 |
|
| AGENT ATTORNEY EMAIL ADDRESS | idrummond@jackson-hertogs.com |
| LAWFIRM NAME BUSINESS NAME | Jackson & Hertogs LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3000 El Camino Real |
| WORKSITE ADDRESS2 | Building 3, Suite 120 |
| LCA CASE WORKLOC1 CITY | Palo Alto |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94306 |
| LCA CASE WAGE RATE FROM | 195000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 178069 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Lee 87028 |
| PREPARER FIRST NAME | Anthony |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Jackson & Hertogs LLP |
| PREPARER EMAIL | alee@jackson-hertogs.com |
