| CASE NUMBER | I-200-24193-190303 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/11/2024 |
| DECISION DATE | 7/18/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Software Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Fanatics Retail Group Fulfillment, LLC |
| TRADE NAME DBA | Fanatics |
| EMPLOYER ADDRESS1 | 8100 Nations Way |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Jacksonville |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32256 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +19044214715 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 45911 |
| EMPLOYER POC LAST NAME | Bailey |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP, Human Resources |
| EMPLOYER POC ADDRESS1 | 1 Franklin Parkway |
| EMPLOYER POC ADDRESS2 | Building 910 |
| EMPLOYER POC CITY | San Mateo |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94403 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +19044214715 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jobailey@fanatics.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Monjo |
| AGENT ATTORNEY FIRST NAME | Zachary |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14 Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +19148726906 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | zachary.monjo@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1877 Broadway |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Boulder |
| WORKSITE COUNTY | BOULDER |
| WORKSITE STATE | CO |
| WORKSITE POSTAL CODE | 80302 |
| WAGE RATE OF PAY FROM | 150,696.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $141,960.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | Badia |
| PREPARER FIRST NAME | Adriana |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | JACKSON LEWIS PC |
| PREPARER EMAIL | adriana.badia@jacksonlewis.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
