| LCA CASE NUMBER | I-200-21139-324614 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-05-18 |
| DECISION DATE | 2021-06-10 |
| ORIGINAL CERT DATE | 2021-05-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Salesforce.com Administrator |
| SOC CODE | 15-1141.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-24 |
| END DATE | 2024-05-23 |
| 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 | SI-BONE, Inc. |
| EMPLOYER ADDRESS1 | 471 El Camino Real |
| EMPLOYER ADDRESS2 | Suite 101 |
| EMPLOYER CITY | Santa Clara |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95050 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14082070700 |
| NAICS CODE | 339112 |
| EMPLOYER POC LAST NAME | Cadena |
| EMPLOYER POC FIRST NAME | Michelle |
| EMPLOYER POC JOB TITLE | Human Resources Business Partner |
| EMPLOYER POC ADDRESS 1 | 471 El Camino Real |
| EMPLOYER POC ADDRESS 2 | Suite 101 |
| EMPLOYER POC CITY | Santa Clara |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95050 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14082070700 |
| EMPLOYER POC EMAIL | michelle.cadena@si-bone.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Shih |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY MIDDLE NAME | Lee |
| AGENT ATTORNEY ADDRESS1 | 180 Sutter Street |
| AGENT ATTORNEY ADDRESS2 | Suite 500 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159813000 |
|
| AGENT ATTORNEY EMAIL ADDRESS | jshih@vblaw.com |
| LAWFIRM NAME BUSINESS NAME | Van Der Hout LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1012 Winnsboro Loop |
| LCA CASE WORKLOC1 CITY | Round Rock |
| WORKSITE COUNTY | BASTROP |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 78664 |
| LCA CASE WAGE RATE FROM | 160000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 111197 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | Daniel |
| PREPARER FIRST NAME | Joy |
| PREPARER BUSINESS NAME | Van Der Hout LLP |
| PREPARER EMAIL | jdan@vblaw.com |
