| LCA CASE NUMBER | I-200-19288-088060 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-10-15 |
| DECISION DATE | 2019-11-05 |
| ORIGINAL CERT DATE | 2019-10-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Sr. Software Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-28 |
| END DATE | 2021-09-29 |
| 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 | Bloom Insurance Agency, LLC |
| EMPLOYER ADDRESS1 | 1331 S Curry Pike |
| EMPLOYER CITY | Bloomington |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47403 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +18126505807 |
| NAICS CODE | 52429 |
| EMPLOYER POC LAST NAME | Cieply |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC JOB TITLE | Director of HR |
| EMPLOYER POC ADDRESS1 | 1331 S. Curry Pike |
| EMPLOYER POC CITY | Bloomington |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47403 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +18126505807 |
| EMPLOYER POC PHONE EXT | 4176.0 |
| EMPLOYER POC EMAIL | scieply@BloomInsurance.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Durham |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 100 North Michigan Street |
| AGENT ATTORNEY ADDRESS2 | 7th Floor |
| AGENT ATTORNEY CITY | South Bend |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15742331171.0 |
| AGENT ATTORNEY EMAIL ADDRESS | mdurham@btlaw.com |
| LAWFIRM NAME BUSINESS NAME | Barnes & Thornburg LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 301 N. Morton St. |
| LCA CASE WORKLOC1 CITY | Bloomington |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47401 |
| LCA CASE WAGE RATE FROM | 108000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104208.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Durham |
| PREPARER FIRST NAME | Michael |
| PREPARER BUSINESS NAME | Barnes & Thornburg LLP |
| PREPARER EMAIL | mdurham@btlaw.com |
