| LCA CASE NUMBER | I-200-21062-115005 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-03-02 |
| DECISION DATE | 2022-05-20 |
| ORIGINAL CERT DATE | 2021-03-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Sr. Software Quality Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineer and Tester |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-15 |
| END DATE | 2024-03-14 |
| 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 | Illumina, Inc. |
| TRADE NAME DBA | Illumina, Inc. |
| EMPLOYER ADDRESS1 | 5200 Illumina Way |
| EMPLOYER CITY | San Diego |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92122 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18587544241 |
| NAICS CODE | 33911 |
| EMPLOYER POC LAST NAME | Oei |
| EMPLOYER POC FIRST NAME | Hillary |
| EMPLOYER POC JOB TITLE | Assoc HR Operations Specialist |
| EMPLOYER POC ADDRESS1 | 5200 Illumina Way |
| EMPLOYER POC CITY | San Diego |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92122 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18587544241 |
| EMPLOYER POC EMAIL | immigration@illumina.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Limaco |
| AGENT ATTORNEY FIRST NAME | Patricia |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 675 N 1st St Ste 1050 |
| AGENT ATTORNEY CITY | San Jose |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95112 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14088509853 |
| AGENT ATTORNEY EMAIL ADDRESS | plimaco@grahamadair.com |
| LAWFIRM NAME BUSINESS NAME | Graham Adair |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5200 Illumina Way |
| LCA CASE WORKLOC1 CITY | San Diego |
| WORKSITE COUNTY | SAN DIEGO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92122 |
| LCA CASE WAGE RATE FROM | 114962 |
| LCA CASE WAGE RATE TO | 140000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112902 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Limaco |
| PREPARER FIRST NAME | Patricia |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Graham Adair, Inc. |
| PREPARER EMAIL | plimaco@grahamadair.com |