| LCA CASE NUMBER | I-200-21196-463042 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-14 |
| DECISION DATE | 2021-07-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Development Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 | DocuSign Inc. |
| EMPLOYER ADDRESS1 | 221 Main St. |
| EMPLOYER ADDRESS2 | Ste. 1550 |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14154894940 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | HO |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | International Mobility & Benefits |
| EMPLOYER POC ADDRESS1 | 221 Main St. Ste 1550 |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14157672899 |
| EMPLOYER POC EMAIL | jennifer.ho@docusign.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tafapolsky |
| AGENT ATTORNEY FIRST NAME | Alan |
| AGENT ATTORNEY ADDRESS1 | 90 New Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | 8th Floor |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159759800 |
| AGENT ATTORNEY EMAIL ADDRESS | flag-SF1@tsmimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Tafapolsky & Smith LLP |
| STATE OF HIGHEST COURT | CA |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 180 Elm Court, Apt. 811 |
| LCA CASE WORKLOC1 CITY | Sunnyvale |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94086 |
| LCA CASE WAGE RATE FROM | 170000 |
| LCA CASE WAGE RATE TO | 190000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 157477 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Yamazaki Berrospi |
| PREPARER FIRST NAME | Fumi D428-y322 home |
| PREPARER BUSINESS NAME | Tafapolsky & Smith LLP |
| PREPARER EMAIL | fumi.yamazaki@tandslaw.com |
