| CASE NUMBER | I-200-24110-907789 |
| CASE STATUS | Certified |
| RECEIVED DATE | 4/19/2024 |
| DECISION DATE | 4/26/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Field Service Engineer I |
| SOC CODE | 17-2031.00 |
| SOC TITLE | Bioengineers and Biomedical Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| 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 | ULTIMA GENOMICS, INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 4209 Technology Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Fremont |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94538 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15103305110 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541715 |
| EMPLOYER POC LAST NAME | Lin |
| EMPLOYER POC FIRST NAME | Toni |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | Chief Administrative Officer |
| EMPLOYER POC ADDRESS1 | 4209 Technology Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Fremont |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94538 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16508611194 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | toni.lin@ultimagen.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Wang |
| AGENT ATTORNEY FIRST NAME | Jessica |
| AGENT ATTORNEY MIDDLE NAME | Lei-Jia |
| AGENT ATTORNEY ADDRESS1 | 57 W. El Camino Real |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Mountain View |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94040 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16503906549 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jessica@attorneywang.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Jessica L. Wang |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of the State of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 11010 Torreyana Rd. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | San Diego |
| WORKSITE COUNTY | SAN DIEGO |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 92121 |
| WAGE RATE OF PAY FROM | 34.57 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $39.50 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $34.57 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | 2024-01-10 |
