| CASE NUMBER | I-200-24180-161784 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/28/2024 |
| DECISION DATE | 7/8/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Product Designer, Software |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2024 |
| END DATE | 6/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Fastly, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 475 Brannan Street |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14156964440 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Sperling |
| EMPLOYER POC FIRST NAME | Mercedes |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | International Benefits & Global Mobility, Director |
| EMPLOYER POC ADDRESS1 | 475 Brannan Street |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94107 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14063145209 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | immigration@fastly.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Vo |
| AGENT ATTORNEY FIRST NAME | An |
| AGENT ATTORNEY MIDDLE NAME | Hoang |
| AGENT ATTORNEY ADDRESS1 | 2101 Wilson Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Arlington |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17036784562 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | dan@eiglaw.com |
| LAWFIRM NAME BUSINESS NAME | Erickson Immigration Group |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | The Supreme Court of Georgia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 53 Shelley Cir |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | East Windsor |
| WORKSITE COUNTY | MERCER |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 08520 |
| WAGE RATE OF PAY FROM | 190,974.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $148,013.00 |
| 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 | Martinez |
| PREPARER FIRST NAME | Fatima |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Erickson Immigration Group |
| PREPARER EMAIL | fatimam@eiglaw.com |
| BEGIN DATE CONVERTED | 2024-01-07 |
