| LCA CASE NUMBER | I-200-17164-635403 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2017-06-13 |
| DECISION DATE | 2019-10-01 |
| ORIGINAL CERT DATE | 2017-06-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SENIOR INFORMATION SECURITY ENGINEER |
| SOC CODE | 15-1122 |
| SOC TITLE | INFORMATION SECURITY ANALYSTS |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2017-06-26 |
| END DATE | 2020-06-25 |
| 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 | PREMERA BLUE CROSS |
| EMPLOYER ADDRESS1 | 7001 220TH STREET SW |
| EMPLOYER CITY | MOUNTLAKE TERRACE |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4259184000 |
| NAICS CODE | 52411 |
| EMPLOYER POC LAST NAME | BROOKMAN |
| EMPLOYER POC FIRST NAME | JANELLE |
| EMPLOYER POC JOB TITLE | SR. HR COMPLIANCE CONSULTANT |
| EMPLOYER POC ADDRESS1 | 7001 220TH STREET SW |
| EMPLOYER POC CITY | MOUNTLAKE TERRACE |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98043 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 4259183363 |
| EMPLOYER POC EMAIL | JANELLE.BROOKMAN@PREMERA.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | ROBERT |
| AGENT ATTORNEY FIRST NAME | ROBERT |
| AGENT ATTORNEY MIDDLE NAME | PAUL |
| AGENT ATTORNEY ADDRESS1 | 1201 THIRD AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 2750 |
| AGENT ATTORNEY CITY | SEATTLE |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 2066822308.0 |
| AGENT ATTORNEY EMAIL ADDRESS | SEA-IMMIGRATION@FISHERPHILLIPS.COM |
| LAWFIRM NAME BUSINESS NAME | FISHER & PHILLIPS LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | STATE SUPREME COURT |
| WORKSITE ADDRESS1 | 7001 220TH STREET SW |
| LCA CASE WORKLOC1 CITY | MOUNTLAKE TERRACE |
| WORKSITE COUNTY | SNOHOMISH |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98043 |
| LCA CASE WAGE RATE FROM | 130000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | KYE |
| PREPARER FIRST NAME | EDWINA |
| PREPARER MIDDLE INITIAL | C. |
| PREPARER BUSINESS NAME | FISHER & PHILLIPS LLP |
| PREPARER EMAIL | SEA-IMMIGRATION@FISHERPHILLIPS.COM |
