| LCA CASE NUMBER | I-200-21335-736615 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-01 |
| DECISION DATE | 2021-12-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Performance Test Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-15 |
| END DATE | 2024-12-14 |
| 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 | Blackline Systems, Inc. |
| EMPLOYER ADDRESS1 | 21300 Victory Blvd, 12th Floor |
| EMPLOYER CITY | Woodland Hills |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91367 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18189367115 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Saltzman |
| EMPLOYER POC FIRST NAME | Tamara |
| EMPLOYER POC JOB TITLE | Manager of People Success |
| EMPLOYER POC ADDRESS1 | 21300 Victory Blvd., 12th Floor |
| EMPLOYER POC CITY | Woodland Hills |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91367 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18189367115 |
| EMPLOYER POC EMAIL | Tamara.Saltzman@blackline.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rush |
| AGENT ATTORNEY FIRST NAME | Andrea |
| AGENT ATTORNEY MIDDLE NAME | N. |
| AGENT ATTORNEY ADDRESS1 | 2755 Orchard Pkwy |
| AGENT ATTORNEY CITY | San Jose |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95134 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14089190600 |
| AGENT ATTORNEY EMAIL ADDRESS | arush@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2392 Palmdale Walk Drive |
| LCA CASE WORKLOC1 CITY | Fort Mill |
| WORKSITE COUNTY | YORK |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29708 |
| LCA CASE WAGE RATE FROM | 116272 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 116272 |
| 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 | Le |
| PREPARER FIRST NAME | Hoang-Yen |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | Blackline@Fragomen.com |
