| LCA CASE NUMBER | I-200-16280-980115 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 10/6/2016 |
| DECISION DATE | 10/13/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/12/2016 |
| EMPLOYMENT END DATE | 12/11/2019 |
| LCA CASE EMPLOYER NAME | NORIDIAN MUTUAL INSURANCE COMPANY |
| EMPLOYER BUSINESS DBA | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA, FARGO |
| EMPLOYER ADDRESS | 4510 13TH AVENUE SOUTH |
| EMPLOYER CITY | FARGO |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58121 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7012772311 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | PECK, AMY |
| AGENT ATTORNEY CITY | OMAHA |
| AGENT ATTORNEY STATE | NE |
| LCA CASE JOB TITLE | SR. SOFTWARE APPLICATION DEVELOPER |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAICS CODE | 524114 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 95,306.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 100,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | ROSWELL |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30076 |
