| LCA CASE NUMBER | I-200-21256-580624 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-13 |
| DECISION DATE | 2021-09-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | LEAD DEVELOPER |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-27 |
| END DATE | 2024-09-26 |
| 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 | That One Video Entertainment, LLC |
| EMPLOYER ADDRESS1 | 2459 West 208th Street |
| EMPLOYER ADDRESS2 | Suite 101 |
| EMPLOYER CITY | Torrance |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13104664768 |
| NAICS CODE | 711410 |
| EMPLOYER POC LAST NAME | Khalil |
| EMPLOYER POC FIRST NAME | Jacque |
| EMPLOYER POC JOB TITLE | Chief Operations Officer |
| EMPLOYER POC ADDRESS1 | 2459 West 208th Street |
| EMPLOYER POC ADDRESS2 | Suite 101 |
| EMPLOYER POC CITY | Torrance |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13104664768 |
| EMPLOYER POC EMAIL | jkhalil@thatonevideogamer.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lau |
| AGENT ATTORNEY FIRST NAME | Benjamin |
| AGENT ATTORNEY ADDRESS1 | 725 South Figueroa Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12133373852 |
| AGENT ATTORNEY EMAIL ADDRESS | Benjamin.Lau@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
|
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 606 W. 57 STREET |
| WORKSITE ADDRESS2 | APT 1623 |
| LCA CASE WORKLOC1 CITY | NEW YORK |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10019 |
| LCA CASE WAGE RATE FROM | 101754 |
| LCA CASE WAGE RATE TO | 110000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 101754 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | LAU |
| PREPARER FIRST NAME | BENJAMIN |
| PREPARER MIDDLE INITIAL | C. |
| PREPARER BUSINESS NAME | JACKSON LEWIS PC |
| PREPARER EMAIL | BENJAMIN.LAU@JACKSONLEWIS.COM |
