| CASE NUMBER | I-200-25051-710522 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/20/2025 |
| DECISION DATE | 2/27/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Lead Technical Program Manager |
| SOC CODE | 15-1211.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/19/2025 |
| END DATE | 8/18/2028 |
| 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 | Docusign Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 221 Main St. |
| EMPLOYER ADDRESS2 | Ste. 800 |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14154894940 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Tan |
| EMPLOYER POC FIRST NAME | Pinqi |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Immigration & Mobility Manager |
| EMPLOYER POC ADDRESS1 | 221 Main St. Ste 800 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13126563616 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | maggie.tan@docusign.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Wong |
| AGENT ATTORNEY FIRST NAME | Mailine |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 33 New Montgomery St. |
| AGENT ATTORNEY ADDRESS2 | Suite 1400 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14159759800 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | flag-SF1@tsmimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Tafapolsky & Smith LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4390 Healdsburg Way |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Dublin |
| WORKSITE COUNTY | ALAMEDA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94568 |
| WAGE RATE OF PAY FROM | $221,300.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $269,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $168,397.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | Dewey |
| PREPARER FIRST NAME | James |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Tafapolsky & Smith LLP |
| PREPARER EMAIL | James.Dewey@tandslaw.com |
| BEGIN DATE CONVERTED | 2025-08-19 |
