| LCA CASE NUMBER | I-200-19297-106938 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-24 |
| DECISION DATE | 2019-10-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Reporting Analyst |
| SOC CODE | 13-1111.00 |
| SOC TITLE | Management Analysts |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-30 |
| END DATE | 2022-10-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Clover Health Labs, LLC |
| EMPLOYER ADDRESS1 | 22 4th Street |
| EMPLOYER ADDRESS2 | 5th Floor |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +14085807378 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Najera Herrera |
| EMPLOYER POC FIRST NAME | Graciela |
| EMPLOYER POC MIDDLE NAME | Rebeca |
| EMPLOYER POC JOB TITLE | HR Generalist |
| EMPLOYER POC ADDRESS1 | 22 4th Street |
| EMPLOYER POC ADDRESS2 | 5th Floor |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94103 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +14085807378 |
| EMPLOYER POC EMAIL | rebeca.najeraherrera@cloverhealth.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Bahnan |
| AGENT ATTORNEY FIRST NAME | Nadine |
| AGENT ATTORNEY MIDDLE NAME | Khamis |
| AGENT ATTORNEY ADDRESS1 | 555 Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | 4th Floor |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159861446.0 |
| AGENT ATTORNEY EMAIL ADDRESS | nbahnan@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Ber |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 725 Cool Springs Blvd. |
| WORKSITE ADDRESS2 | Suite 300 |
| LCA CASE WORKLOC1 CITY | Franklin |
| WORKSITE COUNTY | WILLIAMSON |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37067 |
| LCA CASE WAGE RATE FROM | 120000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 79082.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bahnan |
| PREPARER FIRST NAME | Nadine |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | nbahnan@fragomen.com |
