| LCA CASE NUMBER | I-200-20118-520821 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-27 |
| DECISION DATE | 2020-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Analyst Business Systems |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-03 |
| END DATE | 2023-10-02 |
| 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 | Great West Life & Annuity Insurance Company |
| TRADE NAME DBA | Empower Retirement |
| EMPLOYER ADDRESS1 | 8515 E. Orchard Road 2NB |
| EMPLOYER CITY | Greenwood Village |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13037372449 |
| NAICS CODE | 524113 |
| EMPLOYER POC LAST NAME | Medaris |
| EMPLOYER POC FIRST NAME | Tony |
| EMPLOYER POC JOB TITLE | Senior Specialist, HR Operations Support Team |
| EMPLOYER POC ADDRESS1 | 8515 E. Orchard Road |
| EMPLOYER POC ADDRESS2 | 3T2 |
| EMPLOYER POC CITY | Greenwood Village |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80111 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13037372449 |
| EMPLOYER POC EMAIL | tony.medaris@empower-retirement.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Ochoa |
| AGENT ATTORNEY FIRST NAME | Angelica |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 1801 California Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13032183669.0 |
| AGENT ATTORNEY EMAIL ADDRESS | aochoa@fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | Colorado Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 8515 E Orchard Rd, 2NB |
| LCA CASE WORKLOC1 CITY | Greenwood Village |
| WORKSITE COUNTY | ARAPAHOE |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 80111 |
| LCA CASE WAGE RATE FROM | 106950.37 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 106038.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BOHMAN |
| PREPARER FIRST NAME | KELLY |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | FISHER & PHILLIPS LLP |
| PREPARER EMAIL | KBOHMAN@FISHERPHILLIPS.COM |
