| CASE NUMBER | I-200-25009-608758 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/9/2025 |
| DECISION DATE | 1/16/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Principal Product Manager |
| SOC CODE | 15-1299.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/20/2025 |
| END DATE | 1/19/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Goosehead Insurance Agency LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1500 Solana Blvd. |
| EMPLOYER ADDRESS2 | Building 4, Suite 4500 |
| EMPLOYER CITY | Westlake |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76262 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12148385212 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Roberts |
| EMPLOYER POC FIRST NAME | Nathan |
| EMPLOYER POC MIDDLE NAME | J |
| EMPLOYER POC JOB TITLE | Managing Director & Associate General Counsel |
| EMPLOYER POC ADDRESS1 | 1500 Solana Blvd. |
| EMPLOYER POC ADDRESS2 | Building 4, Suite 4500 |
| EMPLOYER POC CITY | Westlake |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76262 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12148385212 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Nathan.roberts@goosehead.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Joson |
| AGENT ATTORNEY FIRST NAME | Camille |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 500 Dallas St. |
| AGENT ATTORNEY ADDRESS2 | Suite 2100 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77002 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17133442312 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | camille.joson@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1500 Solana Blvd., Building 4 |
| WORKSITE ADDRESS2 | Suite 4500 |
| WORKSITE CITY | Westlake |
| WORKSITE COUNTY | TARRANT |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 76262 |
| WAGE RATE OF PAY FROM | $175,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $136,136.00 |
| 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 | 2 |
| 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 | Walker |
| PREPARER FIRST NAME | Christen |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | christen.walker@ogletreedeakins.com |
| BEGIN DATE CONVERTED | 2025-01-20 |
