| LCA CASE NUMBER | I-200-17004-075831 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/10/2017 |
| DECISION DATE | 1/17/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 5/5/2017 |
| EMPLOYMENT END DATE | 5/5/2020 |
| LCA CASE EMPLOYER NAME | BEACON HEALTH OPTIONS |
| EMPLOYER ADDRESS | 240 CORPORATE BLVD. |
| EMPLOYER CITY | NORFOLK |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23502 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7574595100 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | O'KEEFE, JAMES |
| AGENT ATTORNEY CITY | PORTLAND |
| AGENT ATTORNEY STATE | ME |
| LCA CASE JOB TITLE | WEB DEVELOPER III |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAICS CODE | 524114 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 110,490.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 112,000.00 |
| LCA CASE WAGE RATE TO | 122,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | RESTON |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 20191 |
