| CASE NUMBER | I-200-23297-453265 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/24/2023 |
| DECISION DATE | 10/31/2023 |
| 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 | 3/18/2024 |
| END DATE | 3/17/2027 |
| 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 | Kohl's, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | N56 W17000 Ridgewood Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Menomonee Falls |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53051 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12627037000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 45221 |
| EMPLOYER POC LAST NAME | Karasarides |
| EMPLOYER POC FIRST NAME | Shawn |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP, Associate General Counsel - Labor & Employment |
| EMPLOYER POC ADDRESS1 | N56 W17000 Ridgewood Dr. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Menomonee Falls |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53051 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12627037000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | noname@kohls.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Cofer |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 31608 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Raleigh |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27622 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19197879700 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | debra.diljak@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | North Carolina Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3001 Bishop Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | San Ramon |
| WORKSITE COUNTY | CONTRA COSTA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94583 |
| WAGE RATE OF PAY FROM | 185000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $200,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $181,272.00 |
| 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 | 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 | Cofer |
| PREPARER FIRST NAME | Jennifer |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | debra.diljak@ogletreedeakins.com |
| BEGIN DATE CONVERTED | 2025-06-03 |
