| LCA CASE NUMBER | I-200-21281-633851 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-08 |
| DECISION DATE | 2021-10-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Research Associate |
| SOC CODE | 19-1021.00 |
| SOC TITLE | Biochemists and Biophysicists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-03-31 |
| END DATE | 2025-03-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Surrozen, Inc. |
| EMPLOYER ADDRESS1 | 171 Oyster Point Blvd. |
| EMPLOYER ADDRESS2 | Suite 400 |
| EMPLOYER CITY | South San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94080 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16504752820 |
| NAICS CODE | 541714 |
| EMPLOYER POC LAST NAME | Nguyen |
| EMPLOYER POC FIRST NAME | Liz |
| EMPLOYER POC JOB TITLE | VP of HR |
| EMPLOYER POC ADDRESS1 | 171 Oyster Point Blvd. |
| EMPLOYER POC CITY | South San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94080 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17035999881 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Drummond |
| AGENT ATTORNEY FIRST NAME | Ilana |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 909 Montgomery St |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | CA |
| AGENT ATTORNEY PHONE | 14159864559 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jackson & Hertogs LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 171 Oyster Point Blvd. |
| WORKSITE ADDRESS2 | Suite 400 |
| LCA CASE WORKLOC1 CITY | San Mateo |
| WORKSITE COUNTY | SAN MATEO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94080 |
| LCA CASE WAGE RATE FROM | 104853 |
| LCA CASE WAGE RATE TO | 115000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104853 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Cervantes 83851 |
| PREPARER FIRST NAME | Peter |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Jackson & Hertogs |
| PREPARER EMAIL | [email protected] |
