| CASE NUMBER | I-200-24074-802000 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/14/2024 |
| DECISION DATE | 3/21/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | IT Product Manager, Consultant |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/13/2024 |
| END DATE | 9/12/2027 |
| 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 | California Physician's Service |
| TRADE NAME DBA | Blue Shield of California |
| EMPLOYER ADDRESS1 | 4203 Town Center Blvd. |
| EMPLOYER ADDRESS2 | Ste. C-1 |
| EMPLOYER CITY | El Dorado Hills |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95762 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +19163507561 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Subido |
| EMPLOYER POC FIRST NAME | Linda |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Sr. HR Analyst, People Operations |
| EMPLOYER POC ADDRESS1 | 4203 Town Center Blvd. |
| EMPLOYER POC ADDRESS2 | Ste. C-1 |
| EMPLOYER POC CITY | El Dorado Hills |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95762 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +19163507561 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | linda.subido@blueshieldca.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Hertel |
| AGENT ATTORNEY FIRST NAME | Mark |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2221 Camino Del Rio S |
| AGENT ATTORNEY ADDRESS2 | Ste. 201 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16192999600 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mark@feldmanfeldman.com |
| LAWFIRM NAME BUSINESS NAME | Feldman Feldman & Associates, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 601 12th St. |
| WORKSITE ADDRESS2 | 23rd Floor |
| WORKSITE CITY | Oakland |
| WORKSITE COUNTY | ALAMEDA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94607 |
| WAGE RATE OF PAY FROM | 163000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $144,186.00 |
| 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 | 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 | 2025-01-09 |
