| LCA CASE NUMBER | I-200-21285-640711 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-10-12 |
| DECISION DATE | 2022-04-25 |
| ORIGINAL CERT DATE | 2021-10-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Customer Engineer |
| SOC CODE | 41-9031.00 |
| SOC TITLE | Sales Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-25 |
| END DATE | 2024-10-24 |
| 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 | Fossa, Inc. |
| EMPLOYER ADDRESS1 | 114 Sansome St. |
| EMPLOYER ADDRESS2 | Suite 210 |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16507228444 |
| NAICS CODE | 511210 |
| EMPLOYER POC LAST NAME | Van Nutt |
| EMPLOYER POC FIRST NAME | Diana |
| EMPLOYER POC JOB TITLE | Head of Talent / Human Resources |
| EMPLOYER POC ADDRESS1 | 114 Sansome St. |
| EMPLOYER POC ADDRESS2 | Suite 210 |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16507228444 |
| EMPLOYER POC EMAIL | diana@fossa.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Loke Walsh |
| AGENT ATTORNEY FIRST NAME | Tien-Li |
| AGENT ATTORNEY ADDRESS1 | 10555 Jefferson Blvd |
| AGENT ATTORNEY ADDRESS2 | Ste A |
| AGENT ATTORNEY CITY | Culver City |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90232-3513 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13104547920 |
| AGENT ATTORNEY EMAIL ADDRESS | tl@lokewalsh.com |
|
| LAWFIRM NAME BUSINESS NAME | Loke Walsh Immigration Law, PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 114 Sansome St. |
| WORKSITE ADDRESS2 | Suite 210 |
| LCA CASE WORKLOC1 CITY | San Francisco |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94104 |
| LCA CASE WAGE RATE FROM | 160000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 139838 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Oh |
| PREPARER FIRST NAME | Donna |
| PREPARER BUSINESS NAME | Loke Walsh Immigration Law, PC |
| PREPARER EMAIL | donna@lokewalsh.com |
