| LCA CASE NUMBER | I-200-21043-075088 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-12 |
| DECISION DATE | 2021-02-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Quality Assurance Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-12 |
| END DATE | 2023-09-30 |
| 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 | Malla Systems, Inc. |
| TRADE NAME DBA | eFulgent |
| EMPLOYER ADDRESS1 | 17100 N. 67TH AVENUE |
| EMPLOYER ADDRESS2 | Suite 303 |
| EMPLOYER CITY | Glendale |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85308 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16232594715 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Malla |
| EMPLOYER POC FIRST NAME | Adinarayana |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 17100 N. 67TH AVENUE |
| EMPLOYER POC ADDRESS 2 | Suite 303 |
| EMPLOYER POC CITY | Glendale |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85308 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16232594715 |
| EMPLOYER POC EMAIL | adim@efulgent.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kidambi |
| AGENT ATTORNEY FIRST NAME | Vaman |
| AGENT ATTORNEY ADDRESS1 | 140 Monroe Turnpike |
| AGENT ATTORNEY ADDRESS2 | Suite A |
| AGENT ATTORNEY CITY | Trumbull |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6611 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12034165300 |
| AGENT ATTORNEY PHONE EXT | 104 |
| AGENT ATTORNEY EMAIL ADDRESS | lca@kidambi.com |
| LAWFIRM NAME BUSINESS NAME | Kidambi & Associates, PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Blue Cross Blue Shield of Minnesota |
| WORKSITE ADDRESS1 | 3535 Blue Cross Rd. |
| LCA CASE WORKLOC1 CITY | Eagan |
| WORKSITE COUNTY | DAKOTA |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55122 |
| LCA CASE WAGE RATE FROM | 70762 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 70762 |
| 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 | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | $60,000 or higher annual wage |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kidambi |
| PREPARER FIRST NAME | Vaman |
| PREPARER BUSINESS NAME | Kidambi & Associates, PC |
| PREPARER EMAIL | lca@kidambi.com |
