| CASE NUMBER | I-200-23266-375871 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/23/2023 |
| DECISION DATE | 9/29/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Technical Lead III |
| SOC CODE | 15-1299.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2024 |
| END DATE | 12/31/2026 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Grid Dynamics Holdings, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 5000 Executive Parkway |
| EMPLOYER ADDRESS2 | Suite 520 |
| EMPLOYER CITY | San Ramon |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94583 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | CA |
| EMPLOYER PHONE | +16505235000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541512 |
| EMPLOYER POC LAST NAME | LEBARON |
| EMPLOYER POC FIRST NAME | Shannon |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HR Regional Lead |
| EMPLOYER POC ADDRESS1 | 5000 Executive Parkway |
| EMPLOYER POC ADDRESS2 | Suite 520 |
| EMPLOYER POC CITY | San Ramon |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94583 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16505235000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | slebaron@griddynamics.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Serebryanaya |
| AGENT ATTORNEY FIRST NAME | Marina |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 400 Oyster Point Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 434 |
| AGENT ATTORNEY CITY | South San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94080 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16508759820 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | marina@msvisa.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Marina Serebryanaya and Mark Nemtsov, P.C. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 9801 W Parmer Ln. |
| WORKSITE ADDRESS2 | Apt. 2431 |
| WORKSITE CITY | Austin |
| WORKSITE COUNTY | WILLIAMSON |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 78717 |
| WAGE RATE OF PAY FROM | 115000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $91,000.00 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-01 |
