| CASE NUMBER | I-200-24228-269220 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/15/2024 |
| DECISION DATE | 8/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Software Engineering Manager |
| SOC CODE | 15-1299.09 |
| SOC TITLE | Information Technology Project Managers |
| 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 | Block, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1955 Broadway |
| EMPLOYER ADDRESS2 | Ste 600 |
| EMPLOYER CITY | Oakland |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94612 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14153757186 |
| EMPLOYER PHONE EXT | 8600 |
| NAICS CODE | 513210 |
| EMPLOYER POC LAST NAME | Darling |
| EMPLOYER POC FIRST NAME | Brianna |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Global Immigration Program Manager |
| EMPLOYER POC ADDRESS1 | 1955 Broadway |
| EMPLOYER POC ADDRESS2 | Ste 600 |
| EMPLOYER POC CITY | Oakland |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94612 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | CALIFORNIA |
| EMPLOYER POC PHONE | +14153757186 |
| EMPLOYER POC PHONE EXT | 8600 |
| EMPLOYER POC EMAIL | blockdol@squareup.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Quezada-Reed |
| AGENT ATTORNEY FIRST NAME | Brittney |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 10100 Katy Freeway |
| AGENT ATTORNEY ADDRESS2 | Ste 600 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77043 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +14695052718 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | bqreed@BAL.com |
| LAWFIRM NAME BUSINESS NAME | Berry Appleman & Leiden LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 10095 S Blaney Ave |
| WORKSITE ADDRESS2 | Apt. 315 |
| WORKSITE CITY | Cupertino |
| WORKSITE COUNTY | SANTA CLARA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 95014 |
| WAGE RATE OF PAY FROM | 196,773.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $166,962.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | Quintana |
| PREPARER FIRST NAME | Sonia |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Berry Appleman and Leiden LLP |
| PREPARER EMAIL | squintana@bal.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
