| LCA CASE NUMBER | I-200-21006-996918 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-06 |
| DECISION DATE | 2021-01-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Product Manager |
| SOC CODE | 15-1199.00 |
| SOC TITLE | Computer Occupations, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-12 |
| END DATE | 2022-09-08 |
| 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 | SIMPLECITIZEN, INC. |
| EMPLOYER ADDRESS1 | 370 SOUTH 300 EAST |
| EMPLOYER CITY | SALT LAKE CITY |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18444885245 |
| NAICS CODE | 511210 |
| EMPLOYER POC LAST NAME | STODDARD |
| EMPLOYER POC FIRST NAME | SAMUEL |
| EMPLOYER POC MIDDLE NAME | CURTIS |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS 1 | 370 SOUTH 300 EAST |
| EMPLOYER POC CITY | SALT LAKE CITY |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84111 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18444885245 |
| EMPLOYER POC EMAIL | SAM@SIMPLECITIZEN.COM |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3315 Pleasant Ave |
| WORKSITE ADDRESS2 | Apt 320 |
| LCA CASE WORKLOC1 CITY | Union City |
| WORKSITE COUNTY | UNION |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 7087 |
| LCA CASE WAGE RATE FROM | 145000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 114962 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 and Employment |
| PREPARER LAST NAME | Stoddard |
| PREPARER FIRST NAME | Sam |
| PREPARER BUSINESS NAME | SimpleCitizen, Inc. |
| PREPARER EMAIL | sam@simplecitizen.com |
