| CASE NUMBER | I-200-23251-332553 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 9/8/2023 |
| DECISION DATE | 10/26/2023 |
| ORIGINAL CERT DATE | 9/15/2023 |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Member of Technical Staff |
| SOC CODE | 17-2072.00 |
| SOC TITLE | Electronics Engineers, Except Computer |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/4/2024 |
| END DATE | 3/3/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Rivos Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 331 Fairchild Drive |
| EMPLOYER ADDRESS2 | 2nd Floor |
| EMPLOYER CITY | Mountain View |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15104684459 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 334413 |
| EMPLOYER POC LAST NAME | Li |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC MIDDLE NAME | C |
| EMPLOYER POC JOB TITLE | Chief of Staff |
| EMPLOYER POC ADDRESS1 | 331 Fairchild Drive, 2nd Floor |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Mountain View |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94043 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16508614380 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jen@rivosinc.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Horne |
| AGENT ATTORNEY FIRST NAME | Daniel |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 909 Montgomery St Ste 200 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14159864559 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | dhorne@jackson-hertogs.com |
| LAWFIRM NAME BUSINESS NAME | Jackson & Hertogs LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | Colorado Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 331 Fairchild Drive |
| WORKSITE ADDRESS2 | 2nd Floor |
| WORKSITE CITY | Mountain View |
| WORKSITE COUNTY | SANTA CLARA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94043 |
| WAGE RATE OF PAY FROM | 180003 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $190,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $180,003.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Atwal 89944 |
| PREPARER FIRST NAME | Sharon |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Jackson & Hertogs LLP |
| PREPARER EMAIL | satwal@jackson-hertogs.com |
| BEGIN DATE CONVERTED | 2024-04-03 |
