| CASE NUMBER | I-200-23265-374585 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/22/2023 |
| DECISION DATE | 9/29/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Staff Business Systems Analyst |
| SOC CODE | 15-1211.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/1/2024 |
| END DATE | 2/28/2027 |
| 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 | Illumina, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 5200 Illumina Way |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | San Diego |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92122 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18582024500 |
| EMPLOYER PHONE EXT | 0 |
| NAICS CODE | 33911 |
| EMPLOYER POC LAST NAME | Manzo |
| EMPLOYER POC FIRST NAME | Kristina |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Associate Global Mobility & Immigration Specialist |
| EMPLOYER POC ADDRESS1 | 5200 Illumina Way |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | San Diego |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92122 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +18582024500 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | GMI@illumina.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Adamick |
| AGENT ATTORNEY FIRST NAME | Heather |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 502 W. 30th Street |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78705 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +15123879396 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | hadamick@grahamadair.com |
| LAWFIRM NAME BUSINESS NAME | Graham Adair, Inc. |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 5200 Illumina Way |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | San Diego |
| WORKSITE COUNTY | SAN DIEGO |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 92122 |
| WAGE RATE OF PAY FROM | 114379 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $164,379.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $114,379.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| 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 | Adamick |
| PREPARER FIRST NAME | Heather |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Graham Adair Inc. |
| PREPARER EMAIL | hadamick@grahamadair.com |
| BEGIN DATE CONVERTED | 2024-01-03 |
