| CASE NUMBER | I-200-24180-161142 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/28/2024 |
| DECISION DATE | 7/8/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Sr. Engineer, Applications |
| 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 | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | MOLINA HEALTHCARE, INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 200 OCEANGATE |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Long Beach |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90802 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18885625442 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621491 |
| EMPLOYER POC LAST NAME | Velez / Banyai |
| EMPLOYER POC FIRST NAME | Janeth / Krista |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Consultant, Employee Relations / HR Compliance Manager |
| EMPLOYER POC ADDRESS1 | 200 Oceangate |
| EMPLOYER POC ADDRESS2 | Suite 100 |
| EMPLOYER POC CITY | Long Beach |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90802 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +15629126832 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Janeth.Velez@MolinaHealthCare.Com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Boshnaick |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 444 S Flower Street |
| AGENT ATTORNEY ADDRESS2 | Suite 500 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90071 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +13108203322 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | idelgadillo@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 99613 Valley Ranch Pkwy E |
| WORKSITE ADDRESS2 | Apt. 2106 |
| WORKSITE CITY | Irving |
| WORKSITE COUNTY | DALLAS |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 75063 |
| WAGE RATE OF PAY FROM | 123,922.55 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $101,192.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | Delgadillo |
| PREPARER FIRST NAME | Itzel |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | idelgadillo@fragomen.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
