| LCA CASE NUMBER | I-200-21355-778967 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-21 |
| DECISION DATE | 2021-12-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-10 |
| END DATE | 2025-01-09 |
| 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 | Foretellix, Inc. |
| EMPLOYER ADDRESS1 | 1579 Kennewick Drive |
| EMPLOYER CITY | Sunnyvale |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94087 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16502245149 |
| NAICS CODE | 541330 |
| EMPLOYER POC LAST NAME | Stellfox |
| EMPLOYER POC FIRST NAME | Mike |
| EMPLOYER POC JOB TITLE | VP Product |
| EMPLOYER POC ADDRESS1 | 1579 Kennewick Drive |
| EMPLOYER POC CITY | Sunnyvale |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94087 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16502245149 |
| EMPLOYER POC EMAIL | mike.stellfox@foretellix.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Nattiv |
| AGENT ATTORNEY FIRST NAME | Hilla |
| AGENT ATTORNEY MIDDLE NAME | Rachel |
| AGENT ATTORNEY ADDRESS1 | 3 Harbor Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 105 |
| AGENT ATTORNEY CITY | Sausalito |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94965 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14156930392 |
| AGENT ATTORNEY EMAIL ADDRESS | nattiv@bayareaimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Hilla R. Nattiv |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 78 Eagle Ridge Rd. |
| LCA CASE WORKLOC1 CITY | Lake Orion |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48360 |
| LCA CASE WAGE RATE FROM | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112736 |
| 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 | Nattiv |
| PREPARER FIRST NAME | Hilla |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Law Offices of Hilla R. Nattiv |
| PREPARER EMAIL | nattiv@bayareaimmigration.com |
