| CASE NUMBER | I-200-25035-664734 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/4/2025 |
| DECISION DATE | 2/11/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Application Security Engineer |
| SOC CODE | 15-1212.00 |
| SOC TITLE | Information Security Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/6/2025 |
| END DATE | 8/5/2028 |
| 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 | Blackline Systems, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 21300 Victory Blvd, 12th Floor |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Woodland Hills |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91367 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18189367115 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Saltzman |
| EMPLOYER POC FIRST NAME | Tamara |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Manager of People Success |
| EMPLOYER POC ADDRESS1 | 21300 Victory Blvd., 12th Floor |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Woodland Hills |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91367 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18189367115 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Tamara.Saltzman@blackline.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Hirao |
| AGENT ATTORNEY FIRST NAME | Mayu |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2755 Orchard Parkway |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | San Jose |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95134 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14083301185 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mhirao@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | New Jersey Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 6850 Peachtree Dunwoody Rd |
| WORKSITE ADDRESS2 | Apt 1216 |
| WORKSITE CITY | Atlanta |
| WORKSITE COUNTY | FULTON |
| WORKSITE STATE | GA |
| WORKSITE POSTAL CODE | 30328 |
| WAGE RATE OF PAY FROM | $101,462.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $160,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $101,462.00 |
| 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 | Le |
| PREPARER FIRST NAME | Hoang-Yen |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen, & Loewy LLP |
| PREPARER EMAIL | Blackline@Fragomen.com |
| BEGIN DATE CONVERTED | 2025-08-06 |
