| LCA CASE NUMBER | I-200-21015-016504 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-15 |
| DECISION DATE | 2021-01-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Assurance Specialist |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-18 |
| END DATE | 2024-01-17 |
| 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 | Energy Exemplar, LLC |
| EMPLOYER ADDRESS1 | 420 East South Temple |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Salt Lake City |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13852183096 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Mooy |
| EMPLOYER POC FIRST NAME | Dan |
| EMPLOYER POC JOB TITLE | Sr. Vice President - The Americas |
| EMPLOYER POC ADDRESS 1 | 420 East South Temple |
| EMPLOYER POC ADDRESS 2 | Suite 300 |
| 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 | 19169107856 |
| EMPLOYER POC EMAIL | dan.mooy@energyexemplar.com |
| AGENT REPRESENTING EMPLOYER | True |
| 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 | Ste 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 |
| 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 | False |
| WORKSITE ADDRESS1 | 420 East South Temple |
| WORKSITE ADDRESS2 | Suite 300 |
| LCA CASE WORKLOC1 CITY | Salt lake City |
| WORKSITE COUNTY | SALT LAKE |
| LCA CASE WORKLOC1 STATE | UT |
| WORKSITE POSTAL CODE | 84111 |
| LCA CASE WAGE RATE FROM | 80000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 63357 |
| 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 | Michailov |
| PREPARER FIRST NAME | Dimitar |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Capitol Immigration Law Group PLLC |
| PREPARER EMAIL | dimo.michailov@cilawgroup.com |
