| LCA CASE NUMBER | I-200-25134-977034 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-05-14 |
| DECISION DATE | 2025-05-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Applied Scientist |
| SOC CODE | 15-2051 |
| SOC TITLE | Data Scientists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-09-07 |
| END DATE | 2028-09-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Qualtrics, LLC |
| EMPLOYER ADDRESS1 | 333 W. River Park Drive |
| EMPLOYER CITY | Provo |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18018509736 |
| EMPLOYER FEIN | 45-4964116 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Rotter |
| EMPLOYER POC FIRST NAME | Erin |
| EMPLOYER POC JOB TITLE | Senior Analyst, Global Mobility and Immigration |
| EMPLOYER POC ADDRESS1 | 333 W. River Park Drive |
| EMPLOYER POC CITY | Provo |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18018509736 |
| EMPLOYER POC EMAIL | erinr@qualtrics.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Zachary |
| AGENT ATTORNEY FIRST NAME | Alexandra |
| AGENT ATTORNEY ADDRESS1 | 230 W Monroe Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2800 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13127226300 |
| AGENT ATTORNEY EMAIL ADDRESS | Gov-2@immigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Corporate Immigration Partners, P.C. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11415 Venice Blvd |
| WORKSITE ADDRESS2 | Apartment 9 |
| LCA CASE WORKLOC1 CITY | Los Angeles |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90066 |
| LCA CASE WAGE RATE FROM | 163500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 151694 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |