| LCA CASE NUMBER | I-200-25143-015740 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-05-23 |
| DECISION DATE | 2025-06-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Product and Technology Officer |
| SOC CODE | 11-3021 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-10-01 |
| END DATE | 2028-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Coverself Inc. |
| EMPLOYER ADDRESS1 | 333 W SAN CARLOS ST. |
| EMPLOYER ADDRESS2 | Suite 600, OFC 05-141 |
| EMPLOYER CITY | SAN JOSE |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95110-2726 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14123347102 |
| EMPLOYER FEIN | 87-1913508 |
| NAICS CODE | 511210 |
| EMPLOYER POC LAST NAME | Kallupurackal |
| EMPLOYER POC FIRST NAME | Jacob |
| EMPLOYER POC JOB TITLE | CONSULTING CFO |
| EMPLOYER POC ADDRESS1 | 333 W SAN CARLOS ST. |
| EMPLOYER POC ADDRESS2 | Suite 600, OFC 05-141 |
| EMPLOYER POC CITY | SAN JOSE |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95110 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14123347102 |
| EMPLOYER POC EMAIL | jacob@coverself.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rock |
| AGENT ATTORNEY FIRST NAME | Daniel |
| AGENT ATTORNEY MIDDLE NAME | Robert |
| AGENT ATTORNEY ADDRESS1 | 3309 Elm St |
| AGENT ATTORNEY ADDRESS2 | Suite 110-204 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75226 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19724150058 |
| AGENT ATTORNEY EMAIL ADDRESS | daniel@bayimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Bay Immigration Law, PLLC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 333 W San Carlos St. |
| WORKSITE ADDRESS2 | Suite 600, OFC 05-141 |
| LCA CASE WORKLOC1 CITY | San Jose |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95110 |
| LCA CASE WAGE RATE FROM | 217000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 216590 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Rock |
| PREPARER FIRST NAME | Daniel |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Bay Immigration Law |
| PREPARER EMAIL | daniel@bayimmigrationlaw.com |