| LCA CASE NUMBER | I-200-17059-374584 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/3/2017 |
| DECISION DATE | 3/9/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/31/2017 |
| EMPLOYMENT END DATE | 8/30/2020 |
| LCA CASE EMPLOYER NAME | BLOOM INSURANCE AGENCY, LLC |
| EMPLOYER ADDRESS | 1801 S LIBERTY DRIVE, STE 200 |
| EMPLOYER CITY | BLOOMINGTON |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47403 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8126505807 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | RICHMOND, MARIANA |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| LCA CASE JOB TITLE | DATABASE ANALYST |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAICS CODE | 52429 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 73,965.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 75,000.12 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | BLOOMINGTON |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47401 |
