| CASE NUMBER | I-200-24268-361507 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/24/2024 |
| DECISION DATE | 10/1/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Staff Software Engineer 120.131 |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/19/2025 |
| END DATE | 3/18/2028 |
| 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 | Affirm, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 650 California Street, 12th Floor |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94108 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12244102380 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 522291 |
| EMPLOYER POC LAST NAME | Lukaszewski |
| EMPLOYER POC FIRST NAME | Katie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Global Immigration Specialist |
| EMPLOYER POC ADDRESS1 | 650 California Street, 12th Floor |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12244102380 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | katie.lukaszewski@affirm.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Lai |
| AGENT ATTORNEY FIRST NAME | Cecilia |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2400 N Glenville Drive |
| AGENT ATTORNEY ADDRESS2 | Building A, Suite 100 |
| AGENT ATTORNEY CITY | Richardson |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75082 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14695052319 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | affirmdol@bal.com |
| LAWFIRM NAME BUSINESS NAME | Berry Appleman & Leiden LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 123 River St. |
| WORKSITE ADDRESS2 | Apt 202 |
| WORKSITE CITY | Jersey City |
| WORKSITE COUNTY | HUDSON |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 7302 |
| WAGE RATE OF PAY FROM | $225,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $275,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $179,982.00 |
| 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 | Rodriguez |
| PREPARER FIRST NAME | Arnie |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Berry Appleman & Leiden LLP. |
| PREPARER EMAIL | arrodriguez@bal.com |
| BEGIN DATE CONVERTED | 2025-03-19 |
