| CASE NUMBER | I-200-24114-915564 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 4/23/2024 |
| DECISION DATE | 7/2/2024 |
| ORIGINAL CERT DATE | 4/30/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Software Engineer |
| SOC CODE | 15-1299.08 |
| SOC TITLE | Computer Systems Engineers/Architects |
| 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 | SambaNova Systems Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2200 Geng Rd |
| EMPLOYER ADDRESS2 | Ste 100 |
| EMPLOYER CITY | Palo Alto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94303 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16502631153 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 54199 |
| EMPLOYER POC LAST NAME | Vu |
| EMPLOYER POC FIRST NAME | Hien |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Head of Total Rewards and HR Ops |
| EMPLOYER POC ADDRESS1 | 2200 Geng Rd |
| EMPLOYER POC ADDRESS2 | Ste 100 |
| EMPLOYER POC CITY | Palo Alto |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94303 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16502631153 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | hien.vu@sambanova.ai |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Rambow Bishop |
| AGENT ATTORNEY FIRST NAME | Rebecca |
| AGENT ATTORNEY MIDDLE NAME | Danielle |
| AGENT ATTORNEY ADDRESS1 | 1659 State Hwy 46 West |
| AGENT ATTORNEY ADDRESS2 | Ste 115-416 |
| AGENT ATTORNEY CITY | New Braunfels |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78132 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16507930870 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | rebecca@rambowenterprises.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Rebecca D Rambow |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2200 Geng Road |
| WORKSITE ADDRESS2 | Ste 100 |
| WORKSITE CITY | Palo Alto |
| WORKSITE COUNTY | SANTA CLARA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94303 |
| WAGE RATE OF PAY FROM | 138,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $131,144.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | $60,000 or higher annual wage |
| 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 | 2024-01-10 |
