| CASE NUMBER | I-200-24319-476012 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/14/2024 |
| DECISION DATE | 11/21/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Software Quality Assurance Engineer/Engineer II |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/20/2025 |
| END DATE | 1/19/2028 |
| 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 | Malla Systems, Inc. |
| TRADE NAME DBA | eFulgent |
| EMPLOYER ADDRESS1 | 17100 N. 67TH AVENUE, Suite 303 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Glendale |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85308 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16024395503 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Malla |
| EMPLOYER POC FIRST NAME | Adinarayana |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 17100 N. 67TH AVENUE |
| EMPLOYER POC ADDRESS2 | Suite 303 |
| EMPLOYER POC CITY | Glendale |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85308 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16232594715 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | adim@efulgent.net |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Kidambi |
| AGENT ATTORNEY FIRST NAME | Vaman |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 140 Monroe Turnpike |
| AGENT ATTORNEY ADDRESS2 | Suite A |
| AGENT ATTORNEY CITY | Trumbull |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6611 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12034165300 |
| AGENT ATTORNEY PHONE EXT | 104 |
| AGENT ATTORNEY EMAIL ADDRESS | lca@kidambi.com |
| LAWFIRM NAME BUSINESS NAME | Kidambi & Associates, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | American Express |
| WORKSITE ADDRESS1 | 18850 N 56th St |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Phoenix |
| WORKSITE COUNTY | MARICOPA |
| WORKSITE STATE | AZ |
| WORKSITE POSTAL CODE | 85054 |
| WAGE RATE OF PAY FROM | $85,155.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $82,930.00 |
| PW UNIT OF PAY | Year |
| 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 | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | $60,000 or higher annual wage |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kidambi |
| PREPARER FIRST NAME | Vaman |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Kidambi & Associates, P.C. |
| PREPARER EMAIL | LCA@kidambi.com |
| BEGIN DATE CONVERTED | 2025-01-20 |
