| LCA CASE NUMBER | I-200-21167-403768 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-16 |
| DECISION DATE | 2021-06-24 |
| 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 | 2021-08-17 |
| END DATE | 2024-08-16 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | FULCRUM TECHNOLOGIES, INC. |
| EMPLOYER ADDRESS1 | 1400 112th Ave SE |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Bellevue |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98004 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | WASHINGTON |
| EMPLOYER PHONE | 12063365656 |
| NAICS CODE | 511210 |
| EMPLOYER POC LAST NAME | Fitzpatrick |
| EMPLOYER POC FIRST NAME | Stephanie |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS 1 | 1400 112th Ave SE |
| EMPLOYER POC ADDRESS 2 | Suite 100 |
| EMPLOYER POC CITY | Bellevue |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98004 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12063365656 |
| EMPLOYER POC EMAIL | stephanie.fitzpatrick@fulcrum.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | CHRISTOFFERSEN |
| AGENT ATTORNEY FIRST NAME | LISA |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 1001 4TH AVE |
| AGENT ATTORNEY ADDRESS2 | STE 4500 |
| AGENT ATTORNEY CITY | SEATTLE |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98154 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12069353824 |
| AGENT ATTORNEY EMAIL ADDRESS | LMC@PNWIMMIGRATION.COM |
| LAWFIRM NAME BUSINESS NAME | CHRISTOFFERSEN LAW P.S. |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | WASHINGTON STATE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 16115 88th Ave NE |
| WORKSITE ADDRESS2 | Unit B |
| LCA CASE WORKLOC1 CITY | Kenmore |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98028 |
| LCA CASE WAGE RATE FROM | 99800 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 99800 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2021 |
| PW SURVEY PUBLISHER | Culpepper and Associates, Inc. |
| PW SURVEY NAME | Culpepper Comp One Report |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
