| LCA CASE NUMBER | I-200-21162-391570 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-11 |
| DECISION DATE | 2021-06-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Fullstack Software Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-11 |
| 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 | COLLIBRA, INC. |
| EMPLOYER ADDRESS1 | 61 BROADWAY |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10006 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16468933042 |
| NAICS CODE | 518210 |
| EMPLOYER POC LAST NAME | Kostecki |
| EMPLOYER POC FIRST NAME | Tara |
| EMPLOYER POC JOB TITLE | People Operations |
| EMPLOYER POC ADDRESS 1 | 61 BROADWAY |
| EMPLOYER POC CITY | NEW YORK |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10006 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16468545622 |
| EMPLOYER POC EMAIL | tara.kostecki@collibra.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | ROSENBERG |
| AGENT ATTORNEY FIRST NAME | HYLA |
| AGENT ATTORNEY MIDDLE NAME | KAPLAN |
| AGENT ATTORNEY ADDRESS1 | 1400 BROADWAY |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126888555 |
| AGENT ATTORNEY EMAIL ADDRESS | SUMIKO.WEBSTER@FRAGOMEN.COM |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK SUPREME COURT |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8921 Satterlee Ave SE |
| LCA CASE WORKLOC1 CITY | Snoqualmie |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98065 |
| LCA CASE WAGE RATE FROM | 210000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 155106 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Rosenberg |
| PREPARER FIRST NAME | Hyla |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | Sumiko.Webster@Fragomen.com |
