| LCA CASE NUMBER | I-200-21350-769143 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-16 |
| DECISION DATE | 2021-12-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Lead Specialist- Quality Assurance Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-05-30 |
| END DATE | 2025-05-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Domino's Pizza, Inc. |
| EMPLOYER ADDRESS1 | 30 Frank Lloyd Wright Dr |
| EMPLOYER CITY | Ann Arbor |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17349307029 |
| NAICS CODE | 722513 |
| EMPLOYER POC LAST NAME | Beals |
| EMPLOYER POC FIRST NAME | Caden |
| EMPLOYER POC JOB TITLE | Program Leader- Team Member Relations |
| EMPLOYER POC ADDRESS1 | 30 Frank Lloyd Wright Dr |
| EMPLOYER POC CITY | Ann Arbor |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17349307029 |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Martorell |
| AGENT ATTORNEY FIRST NAME | Claudia |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 8529 Six Forks Rd. Forum IV |
| AGENT ATTORNEY ADDRESS2 | STE. 600 |
| AGENT ATTORNEY CITY | Raleigh |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27615 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19199789700 |
| AGENT ATTORNEY EMAIL ADDRESS | jared.morgan@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 30 Frank Lloyd Wright Drive |
| LCA CASE WORKLOC1 CITY | Ann Arbor |
| WORKSITE COUNTY | WASHTENAW |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48105 |
| LCA CASE WAGE RATE FROM | 105000 |
| LCA CASE WAGE RATE TO | 115000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89482 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 | Martorell |
| PREPARER FIRST NAME | Claudia |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | jared.morgan@ogletreedeakins.com |
