| CASE NUMBER | I-200-24277-384092 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/3/2024 |
| DECISION DATE | 10/10/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Member of Technical Staff - Professional 3 |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/12/2025 |
| END DATE | 1/11/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Omnissa, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 590 East Middlefield Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Mountain View |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16504273996 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 5132 |
| EMPLOYER POC LAST NAME | McCreary / Buroker |
| EMPLOYER POC FIRST NAME | Michael / Aric |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Sr. HR Business Partner / HR Source Manager |
| EMPLOYER POC ADDRESS1 | 590 East Middlefield Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Mountain View |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94043 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16504273996 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | aburoker@omnissa.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Jensen |
| AGENT ATTORNEY FIRST NAME | Kristen |
| 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 | omnissa@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4 Post Oak Lane |
| WORKSITE ADDRESS2 | Apt. 14 |
| WORKSITE CITY | Natick |
| WORKSITE COUNTY | NATICK |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 1760 |
| WAGE RATE OF PAY FROM | $161,195.06 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $147,846.00 |
| 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 | 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 | Doolittle |
| PREPARER FIRST NAME | Ryan |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy LLP |
| PREPARER EMAIL | rdoolittle@fragomen.com |
| BEGIN DATE CONVERTED | 2025-01-12 |
