| LCA CASE NUMBER | I-200-21263-595193 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-20 |
| DECISION DATE | 2021-09-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PACKAGING ENGINEER |
| SOC CODE | 27-1021.00 |
| SOC TITLE | Commercial and Industrial Designers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-04 |
| END DATE | 2024-10-03 |
| 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 | Tesla, Inc. |
| EMPLOYER ADDRESS1 | 3500 Deer Creek Road |
| EMPLOYER CITY | Palo Alto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16506815000 |
| NAICS CODE | 336111 |
| EMPLOYER POC LAST NAME | Napier |
| EMPLOYER POC FIRST NAME | Shannon |
| EMPLOYER POC MIDDLE NAME | Renee |
| EMPLOYER POC JOB TITLE | Managing Counsel, Immigration and Mobility |
| EMPLOYER POC ADDRESS1 | 3500 Deer Creek Road |
| EMPLOYER POC CITY | Palo Alto |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94304 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16506815000 |
| EMPLOYER POC EMAIL | shbarnes@tesla.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mehlman |
| AGENT ATTORNEY FIRST NAME | Sharon |
| AGENT ATTORNEY MIDDLE NAME | Regina |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 928800 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92192 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18584126300 |
| AGENT ATTORNEY EMAIL ADDRESS | Sharon.Mehlman@mehlmanjacobs.com |
| LAWFIRM NAME BUSINESS NAME | Mehlman Jacobs LLP |
| STATE OF HIGHEST COURT | CA |
|
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1 ELECTRIC AVENUE |
| LCA CASE WORKLOC1 CITY | SPARKS |
| WORKSITE COUNTY | STOREY |
| LCA CASE WORKLOC1 STATE | NV |
| WORKSITE POSTAL CODE | 89437 |
| LCA CASE WAGE RATE FROM | 76500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 56992 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | FERNANDEZ |
| PREPARER FIRST NAME | MARIGOLD |
| PREPARER MIDDLE INITIAL | C. |
| PREPARER BUSINESS NAME | MEHLMAN JACOBS LLP |
| PREPARER EMAIL | MARIGOLD.FERNANDEZ@EY.COM |
