| CASE NUMBER | I-200-24365-576885 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/30/2024 |
| DECISION DATE | 1/7/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | R&D Engineer Hardware |
| SOC CODE | 17-2072.00 |
| SOC TITLE | Electronics Engineers, Except Computer |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/6/2025 |
| END DATE | 1/5/2028 |
| 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 | Broadcom Corporation |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3421 Hillview Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Palo Alto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14084338710 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 33441 |
| EMPLOYER POC LAST NAME | Ozer/Thompson |
| EMPLOYER POC FIRST NAME | Jire/Kenneth |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Imm & Global Mobility Program Mgr/ Global Talent Imm Partner |
| EMPLOYER POC ADDRESS1 | 3421 Hillview Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Palo Alto |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94304 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14084338710 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jire.ozer@broadcom.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Pyo |
| AGENT ATTORNEY FIRST NAME | Brooke |
| 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 | 14089190600 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | DOLNotices@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1230 Northland Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Mendota Heights |
| WORKSITE COUNTY | DAKOTA |
| WORKSITE STATE | MN |
| WORKSITE POSTAL CODE | 55120 |
| WAGE RATE OF PAY FROM | $185,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $133,890.00 |
| 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 | Berhane |
| PREPARER FIRST NAME | Segen |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | sberhane@fragomen.com |
| BEGIN DATE CONVERTED | 2025-01-06 |
