| LCA CASE NUMBER | I-200-21148-352940 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-28 |
| DECISION DATE | 2021-06-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Test Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-07 |
| END DATE | 2024-06-06 |
| 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 | Qualtrics, LLC |
| EMPLOYER ADDRESS1 | 333 W. River Park Drive |
| EMPLOYER CITY | Provo |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18018509736 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Rotter |
| EMPLOYER POC FIRST NAME | Erin |
| EMPLOYER POC JOB TITLE | Paralegal |
| EMPLOYER POC ADDRESS 1 | 333 W. River Park Drive |
| EMPLOYER POC CITY | Provo |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18018509736 |
| EMPLOYER POC EMAIL | erinr@qualtrics.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Preston |
| AGENT ATTORNEY FIRST NAME | Christopher |
| AGENT ATTORNEY MIDDLE NAME | James |
| AGENT ATTORNEY ADDRESS1 | 230 W. Monroe St. |
| AGENT ATTORNEY ADDRESS2 | Suite 2800 [856334] |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13127226300 |
| AGENT ATTORNEY EMAIL ADDRESS | chris.preston@giafirm.com |
| LAWFIRM NAME BUSINESS NAME | Global Immigration Associates, P.C. |
| STATE OF HIGHEST COURT | NE |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1201 2nd Avenue |
| WORKSITE ADDRESS2 | Floor 17 |
| LCA CASE WORKLOC1 CITY | Seattle |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98104 |
| LCA CASE WAGE RATE FROM | 130500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117125 |
| 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 |
