| LCA CASE NUMBER | I-200-22174-308286 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-06-23 |
| DECISION DATE | 2022-07-06 |
| ORIGINAL CERT DATE | 2022-06-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Developer III |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-04 |
| END DATE | 2025-07-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Mutual Insurance Company of Arizona |
| EMPLOYER ADDRESS1 | 2602 East Thomas Road |
| EMPLOYER CITY | Phoenix |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85016 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16028082110 |
| NAICS CODE | 524210 |
| EMPLOYER POC LAST NAME | Kochan |
| EMPLOYER POC FIRST NAME | Leon |
| EMPLOYER POC JOB TITLE | Vice President Human Resources |
| EMPLOYER POC ADDRESS1 | 2602 E. Thomas Rd. |
| EMPLOYER POC CITY | Phoenix |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85016 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16028082110 |
| EMPLOYER POC EMAIL | lkochan@mica-insurance.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Winterscheidt |
| AGENT ATTORNEY FIRST NAME | Rebecca |
| AGENT ATTORNEY MIDDLE NAME | Ann |
| AGENT ATTORNEY ADDRESS1 | 400 Est Van Buren Street |
| AGENT ATTORNEY ADDRESS2 | 19th Floor |
| AGENT ATTORNEY CITY | Phoenix |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16023826343 |
| AGENT ATTORNEY EMAIL ADDRESS | mtomczak@swlaw.com |
| LAWFIRM NAME BUSINESS NAME | Snell & Wilmer LLP |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2602 E. Thomas Rd. |
| LCA CASE WORKLOC1 CITY | Phoenix |
| WORKSITE COUNTY | MARICOPA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85016 |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 86632 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Winterscheidt |
| PREPARER FIRST NAME | Rebecca |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Snell & Wilmer LLP |
| PREPARER EMAIL | mtomczak@swlaw.com |
