\ H1B CASE NUMBER I-200-21275-621034



CASE NUNBER: I-200-21275-621034

LCA CASE NUMBERI-200-21275-621034
STATUSCertified
LCA CASE SUBMIT2021-10-01
DECISION DATE2021-10-08
VISA CLASSH-1B
LCA CASE JOB TITLESoftware Engineer
SOC CODE15-1132.00
SOC TITLESoftware Developers, Applications
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-10-18
END DATE2024-10-17
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMEDocuSign, Inc.
EMPLOYER ADDRESS1221 Main Street
EMPLOYER ADDRESS2Suite 1550
EMPLOYER CITYSan Francisco
EMPLOYER STATECA
EMPLOYER POSTAL CODE94105
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE14154894940
NAICS CODE541511
EMPLOYER POC LAST NAMEHo
EMPLOYER POC FIRST NAMEJennifer
EMPLOYER POC JOB TITLEInternational Mobility & Benefits
EMPLOYER POC ADDRESS1221 Main St.
EMPLOYER POC ADDRESS2Suite 1550
EMPLOYER POC CITYSan Francisco
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE94105
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE14157672899
EMPLOYER POC EMAILjennifer.ho@docusign.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMETafapolsky
AGENT ATTORNEY FIRST NAMEAlan
AGENT ATTORNEY ADDRESS190 New Montgomery St.
AGENT ATTORNEY ADDRESS28th Floor
AGENT ATTORNEY CITYSan Francisco
AGENT ATTORNEY STATECA
AGENT ATTORNEY POSTAL CODE94105
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE14159759800
AGENT ATTORNEY EMAIL ADDRESSstephanie.chin@tandslaw.com
LAWFIRM NAME BUSINESS NAMETafapolsky & Smith LLP
STATE OF HIGHEST COURTCA
NAME OF HIGHEST STATE COURTSupreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1221 Main St.
WORKSITE ADDRESS2Suite 1550
LCA CASE WORKLOC1 CITYSan Francisco
WORKSITE COUNTYSAN FRANCISCO
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE94105
LCA CASE WAGE RATE FROM121763
LCA CASE WAGE RATE TO180000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE121763
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2021 - 6/30/2022
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEChin
PREPARER FIRST NAMEStephanie D428-M452
PREPARER BUSINESS NAMETafapolsky & Smith LLP
PREPARER EMAILstephanie.chin@tandslaw.com