| CASE NUMBER | I-200-24295-419837 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/21/2024 |
| DECISION DATE | 10/28/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Cloud Technologies Architect |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/29/2025 |
| END DATE | 1/28/2028 |
| 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 | SpartanNash Associates, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 850 76th St SW |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Byron Center |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49315 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16168782000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 4244 |
| EMPLOYER POC LAST NAME | Smit |
| EMPLOYER POC FIRST NAME | Kimberly |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Manager, HR Strategic Projects and Compliance |
| EMPLOYER POC ADDRESS1 | 850 76th Street S.W. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Byron Center |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49315 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16168860772 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | kimberly.smit@spartannash.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Jensen |
| AGENT ATTORNEY FIRST NAME | Thomas |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 1500 K Street NW |
| AGENT ATTORNEY ADDRESS2 | STE 1100 |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20005 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12023127494 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | thomas.jensen@faegredrinker.com |
| LAWFIRM NAME BUSINESS NAME | Faegre Drinker Biddle & Reath LLP |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | DC Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 850 76th Street S.W. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Byron Center |
| WORKSITE COUNTY | KENT |
| WORKSITE STATE | MI |
| WORKSITE POSTAL CODE | 49315 |
| WAGE RATE OF PAY FROM | $119,205.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $175,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $119,205.00 |
| 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 Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-29 |
