| CASE NUMBER | I-200-24204-211629 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/22/2024 |
| DECISION DATE | 7/29/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Staff Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 12/6/2024 |
| END DATE | 12/5/2027 |
| 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 | Shipt, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 420 20th St N |
| EMPLOYER ADDRESS2 | STE 100 |
| EMPLOYER CITY | Birmingham |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 35203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12055022500 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 518210 |
| EMPLOYER POC LAST NAME | Coll |
| EMPLOYER POC FIRST NAME | Morgan |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Program Manager, People Operations |
| EMPLOYER POC ADDRESS1 | 420 20th Street North |
| EMPLOYER POC ADDRESS2 | STE 100 |
| EMPLOYER POC CITY | Birmingham |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 35203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +19125085022 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | morgan.coll@shipt.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Kilibarda |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 90 S 7th St |
| AGENT ATTORNEY ADDRESS2 | STE 2200 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16127666929 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | sarah.kilibarda@faegredrinker.com |
| LAWFIRM NAME BUSINESS NAME | Faegre Drinker Biddle & Reath LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2343 Liberty Loop |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Herndon |
| WORKSITE COUNTY | FAIRFAX |
| WORKSITE STATE | VA |
| WORKSITE POSTAL CODE | 20171 |
| WAGE RATE OF PAY FROM | 173,763.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $222,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $173,763.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-06-12 |
