| LCA CASE NUMBER | I-200-21062-117250 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-03-03 |
| DECISION DATE | 2021-03-12 |
| ORIGINAL CERT DATE | 2021-03-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Developer III |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-09 |
| END DATE | 2024-03-08 |
| 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 | HealthNow New York Inc. |
| TRADE NAME DBA | Blue Cross Blue Shield of Western NY |
| EMPLOYER ADDRESS1 | 257 West Genesee Street |
| EMPLOYER CITY | Buffalo |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17168876942 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Zablonski |
| EMPLOYER POC FIRST NAME | Pamela |
| EMPLOYER POC MIDDLE NAME | H |
| EMPLOYER POC JOB TITLE | HR Specialist |
| EMPLOYER POC ADDRESS 1 | 257 West Genesee Street |
| EMPLOYER POC CITY | Buffalo |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17168876942 |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Schieck |
| AGENT ATTORNEY FIRST NAME | Glenn |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 1600 Bausch and Lomb Place |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15852311326 |
| AGENT ATTORNEY EMAIL ADDRESS | gschieck@hselaw.com |
| LAWFIRM NAME BUSINESS NAME | Harter Secrest and Emery LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 700 Revere Crossing Lane |
| WORKSITE ADDRESS2 | Apt. 312 |
| LCA CASE WORKLOC1 CITY | Cary |
| WORKSITE COUNTY | WAKE |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27519 |
| LCA CASE WAGE RATE FROM | 106400 |
| LCA CASE WAGE RATE TO | 116400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 106400 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | Mercer LLC |
| PW SURVEY NAME | US MBD/TRS Mercer/Gartner IT Survey |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
