| LCA CASE NUMBER | I-200-21064-123781 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-05 |
| DECISION DATE | 2021-03-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior QA Automation Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-08 |
| END DATE | 2024-03-07 |
| 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 | PDDS Buyer LLC |
| TRADE NAME DBA | dba Planet DDS |
| EMPLOYER ADDRESS1 | 3990 Westerly Pl |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Newport Beach |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92660 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19496293969 |
| NAICS CODE | 511210 |
| EMPLOYER POC LAST NAME | Hendricks |
| EMPLOYER POC FIRST NAME | Angelina |
| EMPLOYER POC MIDDLE NAME | M.W. |
| EMPLOYER POC JOB TITLE | Chief Technology Officer |
| EMPLOYER POC ADDRESS 1 | 3990 Westerly Pl |
| EMPLOYER POC ADDRESS 2 | Suite 200 |
| EMPLOYER POC CITY | Newport Beach |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92660 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19496293969 |
| EMPLOYER POC EMAIL | ahendricks@planetdds.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | NADALIN |
| AGENT ATTORNEY FIRST NAME | ROBERT |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | PO BOX 124594 |
| AGENT ATTORNEY CITY | SAN DIEGO |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92112 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16192348875 |
| LAWFIRM NAME BUSINESS NAME | The Law Offices of Robert Nadalin |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF THE STATE OF CALIFORNIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3990 Westerly Pl, Suite 200 |
| LCA CASE WORKLOC1 CITY | Newport Beach |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92660 |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE TO | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104749 |
| 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 | Kepley |
| PREPARER FIRST NAME | Iuliia |
| PREPARER BUSINESS NAME | The Law Offices of Robert Nadalin |
| PREPARER EMAIL | iuliia@nadalinlaw.com |
