| LCA CASE NUMBER | I-200-21361-788290 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-27 |
| DECISION DATE | 2022-01-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Software Engineer, Backend |
| SOC CODE | 15-1133.00 |
| SOC TITLE | Software Developers, Systems Software |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-03 |
| END DATE | 2023-11-28 |
| 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 | Pure Blue Medical, Inc |
| TRADE NAME DBA | Intrivo Diagnostics |
| EMPLOYER ADDRESS1 | 10000 Washington Blvd |
| EMPLOYER ADDRESS2 | 6th Floor |
| EMPLOYER CITY | Culver City |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90232 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18889650301 |
| NAICS CODE | 423450 |
| EMPLOYER POC LAST NAME | Horgan |
| EMPLOYER POC FIRST NAME | Anthony |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 10000 Washington Blvd |
| EMPLOYER POC ADDRESS2 | 6th Floor |
| EMPLOYER POC CITY | Culver City |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90232 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18889650301 |
| EMPLOYER POC EMAIL | ahorgan@intrivo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wilner |
| AGENT ATTORNEY FIRST NAME | Richard |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 333 City Blvd. W |
| AGENT ATTORNEY ADDRESS2 | Suite 1918 |
| AGENT ATTORNEY CITY | Orange |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92868 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17149198880 |
|
| AGENT ATTORNEY EMAIL ADDRESS | richard@wilneroreilly.com |
| LAWFIRM NAME BUSINESS NAME | Wilner and O'Reilly, APLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3088 Baze Rd |
| WORKSITE ADDRESS2 | Unit 229 |
| LCA CASE WORKLOC1 CITY | San Mateo |
| WORKSITE COUNTY | SAN MATEO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94403 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 167710 |
| 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 |
