| CASE NUMBER | I-200-25016-623840 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/16/2025 |
| DECISION DATE | 1/24/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Technical Account Manager |
| SOC CODE | 15-1211.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/15/2025 |
| END DATE | 2/14/2028 |
| 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 | Xactly Corporation |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1125 17th Street |
| EMPLOYER ADDRESS2 | Suite 1700 |
| EMPLOYER CITY | Denver |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14089773132 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Gryniewicz |
| EMPLOYER POC FIRST NAME | Rebecca |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources Representative |
| EMPLOYER POC ADDRESS1 | 1125 17th Street |
| EMPLOYER POC ADDRESS2 | Suite 1700 |
| EMPLOYER POC CITY | Denver |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14089773132 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | rgryniewicz@xactlycorp.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Robinson |
| AGENT ATTORNEY FIRST NAME | Kenneth |
| AGENT ATTORNEY MIDDLE NAME | Jay |
| AGENT ATTORNEY ADDRESS1 | 250 West Street |
| AGENT ATTORNEY ADDRESS2 | Suite 700 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16144622280 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Kenneth.Robinson@icemiller.com |
| LAWFIRM NAME BUSINESS NAME | Ice Miller LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 49 Marion Street |
| WORKSITE ADDRESS2 | Apt. 3A |
| WORKSITE CITY | Brookline |
| WORKSITE COUNTY | NORFOLK |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 2446 |
| WAGE RATE OF PAY FROM | $144,118.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $142,147.00 |
| 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 | Desai |
| PREPARER FIRST NAME | Radha |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Ice Miller LLP |
| PREPARER EMAIL | radha.desai@icemiller.com |
| BEGIN DATE CONVERTED | 2025-02-15 |
