| CASE NUMBER | I-200-24082-824748 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 3/22/2024 |
| DECISION DATE | 8/9/2024 |
| ORIGINAL CERT DATE | 3/29/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | System Test Engineer II |
| SOC CODE | 17-2071.00 |
| SOC TITLE | Electrical Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/21/2024 |
| END DATE | 11/26/2025 |
| 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 | Ossia, Inc |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2425 152nd Ave NE |
| EMPLOYER ADDRESS2 | Suite 2425 |
| EMPLOYER CITY | Redmond |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98052 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14254066477 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 334419 |
| EMPLOYER POC LAST NAME | Rasmussen |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Finance & Administration |
| EMPLOYER POC ADDRESS1 | 2425 152nd Ave NE |
| EMPLOYER POC ADDRESS2 | Suite 2425 |
| EMPLOYER POC CITY | Redmond |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98052 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14254066477 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jenniferr@ossia.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Zakharova |
| AGENT ATTORNEY FIRST NAME | Lola |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 705 Second 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 | WASHINGTON |
| AGENT ATTORNEY PHONE | +12066221604 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | haileyt@mhb.com |
| LAWFIRM NAME BUSINESS NAME | MacDonald Hoague & Bayless |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2425 152nd Ave NE |
| WORKSITE ADDRESS2 | Suite 2425 |
| WORKSITE CITY | Redmond |
| WORKSITE COUNTY | KING |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98052 |
| WAGE RATE OF PAY FROM | 90,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $99,840.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $89,086.00 |
| PW UNIT OF PAY | Year |
| 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 | 2025-09-07 |
