| LCA CASE NUMBER | I-200-17076-857866 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/17/2017 |
| DECISION DATE | 3/23/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 3/27/2017 |
| EMPLOYMENT END DATE | 3/27/2020 |
| LCA CASE EMPLOYER NAME | QUALTRICS, LLC |
| EMPLOYER ADDRESS | 333 W. RIVER PARK DRIVE |
| EMPLOYER CITY | PROVO |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8018509736 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KUHAGEN, SCOTT |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | SENIOR DATABASE ADMINISTRATOR |
| SOC CODE | 15-1141 |
| SOC NAME | DATABASE ADMINISTRATORS |
| NAICS CODE | 541511 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 79,456.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 160,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | SEATTLE |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98104 |
