| CASE NUMBER | I-200-24009-626974 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/9/2024 |
| DECISION DATE | 1/17/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Quality Engineer 3 |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/6/2024 |
| END DATE | 2/5/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | CWC Travel, Inc. |
| TRADE NAME DBA | Costco Travel |
| EMPLOYER ADDRESS1 | 1605 NW Sammamish Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Issaquah |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98027-5378 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14254277750 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 561510 |
| EMPLOYER POC LAST NAME | Panicker |
| EMPLOYER POC FIRST NAME | Suraj |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | AVP of IT |
| EMPLOYER POC ADDRESS1 | 1605 NW Sammamish Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Issaquah |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98027-5378 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14254277750 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | suraj.panicker@costcotravel.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Chan |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | T |
| AGENT ATTORNEY ADDRESS1 | 705 2nd Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12066221604 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | saraho@mhb.com |
| LAWFIRM NAME BUSINESS NAME | MacDonald Hoague & Bayless |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3905 Dallas Parkway |
| WORKSITE ADDRESS2 | Suite 100 |
| WORKSITE CITY | Plano |
| WORKSITE COUNTY | COLLIN |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 75093 |
| WAGE RATE OF PAY FROM | 142500 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $81,328.00 |
| 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 | 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-06-02 |
