| CASE NUMBER | I-200-25021-632843 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/21/2025 |
| DECISION DATE | 1/28/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Software Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/21/2025 |
| END DATE | 1/20/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Xerex Inc. |
| TRADE NAME DBA | California Medical Systems |
| EMPLOYER ADDRESS1 | 1133 Camelback St. |
| EMPLOYER ADDRESS2 | P.O. Box #9937 |
| EMPLOYER CITY | Newport Beach |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92658 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19497196767 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541512 |
| EMPLOYER POC LAST NAME | Tabrizi |
| EMPLOYER POC FIRST NAME | Anoush |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | General Manager |
| EMPLOYER POC ADDRESS1 | 3 Liliano |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Irvine |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92614 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19497196767 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | atabrizi@cal-med.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Kumar |
| AGENT ATTORNEY FIRST NAME | Nadadur |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 11620 Wilshire Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 250 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90025 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13104791383 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | roxanns@nskumarlaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Nadadur S. Kumar |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2021 N. Beverly Plaza |
| WORKSITE ADDRESS2 | Apt. 154 |
| WORKSITE CITY | Long Beach |
| WORKSITE COUNTY | LOS ANGELES |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 90815 |
| WAGE RATE OF PAY FROM | $61.03 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $61.03 |
| PW UNIT OF PAY | Hour |
| 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 Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-21 |
