\ H1B CASE NUMBER I-200-22115-103993



CASE NUNBER: I-200-22115-103993

LCA CASE NUMBERI-200-22115-103993
STATUSCertified - Withdrawn
LCA CASE SUBMIT2022-04-25
DECISION DATE2023-04-13
ORIGINAL CERT DATE2022-05-02
VISA CLASSH-1B
LCA CASE JOB TITLESoftware Engineer 1615.75467.1
SOC CODE15-1132.00
SOC TITLESoftware Developers, Applications
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2022-05-02
END DATE2025-05-01
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMEVerily Life Sciences LLC
EMPLOYER ADDRESS1269 East Grand Avenue
EMPLOYER CITYSouth San Francisco
EMPLOYER STATECA
EMPLOYER POSTAL CODE94080
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE14157361087
NAICS CODE541512
EMPLOYER POC LAST NAMEFriis/Garcia/Milgram
EMPLOYER POC FIRST NAMELexi/Chelsea/Cheyenne
EMPLOYER POC JOB TITLEPeople Operations
EMPLOYER POC ADDRESS1269 East Grand Avenue
EMPLOYER POC CITYSouth San Francisco
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE94080
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE14157361087
EMPLOYER POC EMAILverily-pact@google.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMESanditen
AGENT ATTORNEY FIRST NAMEVicki
AGENT ATTORNEY ADDRESS12400 N Glenville Drive
AGENT ATTORNEY ADDRESS2Building A, Suite 100
AGENT ATTORNEY CITYRICHARDSON
AGENT ATTORNEY STATETX
AGENT ATTORNEY POSTAL CODE75082
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PROVINCETEXAS
AGENT ATTORNEY PHONE14692995725
AGENT ATTORNEY EMAIL ADDRESSGoogleDOL@bal.com
LAWFIRM NAME BUSINESS NAMEBerry Appleman & Leiden LLP
STATE OF HIGHEST COURTTX
NAME OF HIGHEST STATE COURTSupreme Court of Texas
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1269 East Grand Avenue
LCA CASE WORKLOC1 CITYSouth San Francisco
WORKSITE COUNTYSAN FRANCISCO
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE94080
LCA CASE WAGE RATE FROM190000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE121763
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2021 - 6/30/2022
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMETirado
PREPARER FIRST NAMEPaola
PREPARER BUSINESS NAMEBerry Appleman & Leiden LLP
PREPARER EMAILptirado@bal.com