| LCA CASE NUMBER | I-200-21298-666808 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-25 |
| DECISION DATE | 2021-11-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Software Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-28 |
| END DATE | 2024-10-27 |
| 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 | GB Advanced Technologies LLC |
| EMPLOYER ADDRESS1 | 182 Howard St |
| EMPLOYER ADDRESS2 | #332 |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14084829544 |
| NAICS CODE | 45231 |
| EMPLOYER POC LAST NAME | Boardman |
| EMPLOYER POC FIRST NAME | Kari |
| EMPLOYER POC JOB TITLE | Global Mobility Manager |
| EMPLOYER POC ADDRESS1 | 537 N 3rd Street |
| EMPLOYER POC CITY | Philadelphia |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19123 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14084829544 |
| EMPLOYER POC EMAIL | kari.boardman@gopuff.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Derhemi |
| AGENT ATTORNEY FIRST NAME | Eda |
| AGENT ATTORNEY ADDRESS1 | 1400 Broadway |
| AGENT ATTORNEY ADDRESS2 | 9th Floor |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | NY |
| AGENT ATTORNEY PHONE | 16468616855 |
| AGENT ATTORNEY EMAIL ADDRESS | TeamPaldino3@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Appellate Division, 2nd Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 182 Howard St |
| WORKSITE ADDRESS2 | #332 |
| LCA CASE WORKLOC1 CITY | San Francisco |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94105 |
| LCA CASE WAGE RATE FROM | 170000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 121763 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kovnick |
| PREPARER FIRST NAME | Elliot |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | ekovnick@fragomen.com |
