| LCA CASE NUMBER | I-200-21280-631101 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2021-10-07 |
| DECISION DATE | 2021-10-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Sr. Software QA Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-17 |
| END DATE | 2024-11-16 |
| 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 | Blackhawk Network, Inc. |
| EMPLOYER ADDRESS1 | 6220 Stoneridge Mall Road |
| EMPLOYER CITY | Pleasanton |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94588 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19252269990 |
| NAICS CODE | 522320 |
| EMPLOYER POC LAST NAME | Siemsen |
| EMPLOYER POC FIRST NAME | Dawn |
| EMPLOYER POC JOB TITLE | HR Program Manager |
| EMPLOYER POC ADDRESS1 | 6220 Stoneridge Mall Road |
| EMPLOYER POC CITY | Pleasanton |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94588 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19252269990 |
| EMPLOYER POC EMAIL | immigration@bhnetwork.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pham |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY ADDRESS1 | 909 Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159864559 |
| AGENT ATTORNEY EMAIL ADDRESS | bpham@jackson-hertogs.com |
| LAWFIRM NAME BUSINESS NAME | Jackson & Hertogs LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 188 Riverview Drive NW, Apt 2A |
| LCA CASE WORKLOC1 CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49544 |
| LCA CASE WAGE RATE FROM | 114300 |
| LCA CASE WAGE RATE TO | 152400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 93080 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pham (88747) |
| PREPARER FIRST NAME | Brian |
| PREPARER BUSINESS NAME | Jackson and Hertogs LLP |
| PREPARER EMAIL | bpham@jackson-hertogs.com |
