| CASE NUMBER | I-200-24330-498841 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/25/2024 |
| DECISION DATE | 12/3/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Quality Automation Engineer |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/3/2025 |
| END DATE | 1/2/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Fanatics Retail Group Fulfillment, LLC |
| TRADE NAME DBA | Fanatics |
| EMPLOYER ADDRESS1 | 8100 Nations Way |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Jacksonville |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32256 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19044214715 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 45911 |
| EMPLOYER POC LAST NAME | Medina |
| EMPLOYER POC FIRST NAME | Katrina |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HR, Program Manager |
| EMPLOYER POC ADDRESS1 | 5332 Avion Park |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Tampa |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33607 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18134108327 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | kmedina@fanatics.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Trinh |
| AGENT ATTORNEY FIRST NAME | Nadine |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19148726910 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Nadine.Trinh@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 8100 Nations Way |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 32256 |
| WAGE RATE OF PAY FROM | $110,637.45 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $97,178.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | Lizarazo |
| PREPARER FIRST NAME | Lilia |
| PREPARER MIDDLE INITIAL | I |
| PREPARER BUSINESS NAME | Jackson Lewis, P.C. |
| PREPARER EMAIL | lilia.lizarazo@jacksonlewis.com |
| BEGIN DATE CONVERTED | 2025-01-03 |
