| CASE NUMBER | I-200-23335-536176 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/1/2023 |
| DECISION DATE | 12/8/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Staff Software Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 6/1/2024 |
| END DATE | 5/31/2027 |
| 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 | WAL-MART ASSOCIATES, INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 702 S. W. 8TH STREET |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | BENTONVILLE |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72716 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16508375000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 455110 |
| EMPLOYER POC LAST NAME | SMITH |
| EMPLOYER POC FIRST NAME | IRINA |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | DIRECTOR, IMMIGRATION AND GLOBAL MOBILITY |
| EMPLOYER POC ADDRESS1 | 850 CHERRY AVENUE |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | SAN BRUNO |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94066 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16508375000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ISMITH@WALMART.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Tsolakidis |
| AGENT ATTORNEY FIRST NAME | Nicole |
| AGENT ATTORNEY MIDDLE NAME | Marisa |
| AGENT ATTORNEY ADDRESS1 | 1400 Broadway |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16468616973 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | ntsolakidis@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NYS Appellate Division, First Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1834 Slough Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Manteca |
| WORKSITE COUNTY | SAN JOAQUIN |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 95337 |
| WAGE RATE OF PAY FROM | 150762 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $216,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $126,693.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | Cheng |
| PREPARER FIRST NAME | Michelle |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | mcheng@fragomen.com |
| BEGIN DATE CONVERTED | 2024-01-06 |
