| CASE NUMBER | I-200-24185-174616 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/3/2024 |
| DECISION DATE | 7/11/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Engineer Software |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 12/6/2024 |
| END DATE | 12/5/2027 |
| 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 | EMPOWER RETIREMENT, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 8515 EAST ORCHARD ROAD |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | GREENWOOD VILLAGE |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18885072808 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 525990 |
| EMPLOYER POC LAST NAME | MEDARIS |
| EMPLOYER POC FIRST NAME | TONY |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | SR. SPECIALIST, HR OPERATIONS SUPPORT TEAM |
| EMPLOYER POC ADDRESS1 | 8515 EAST ORCHARD ROAD |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | GREENWOOD VILLAGE |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80111 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +18885072808 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | tony.medaris@empower.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | OCHOA |
| AGENT ATTORNEY FIRST NAME | ANGELICA |
| AGENT ATTORNEY MIDDLE NAME | MARIA |
| AGENT ATTORNEY ADDRESS1 | 1125 17TH ST |
| AGENT ATTORNEY ADDRESS2 | SUITE 2400 |
| AGENT ATTORNEY CITY | DENVER |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +13032183669 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | aochoa@fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | FISHER & PHILLIPS LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | COLORADO SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1050 Borregas Ave |
| WORKSITE ADDRESS2 | Apt 8 |
| WORKSITE CITY | Sunnyvale |
| WORKSITE COUNTY | SANTA CLARA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94089 |
| WAGE RATE OF PAY FROM | 175,100.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $172,931.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | Kraatz |
| PREPARER FIRST NAME | Jessica |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fisher & Phillips LLP |
| PREPARER EMAIL | jkraatz@fisherphillips.com |
| BEGIN DATE CONVERTED | 2024-06-12 |
