| LCA CASE NUMBER | I-200-19267-821065 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-09-26 |
| DECISION DATE | 2019-10-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | APPLICATION SYSTEMS ANALYST |
| SOC CODE | 15-1132 |
| SOC TITLE | SOFTWARE DEVELOPERS, APPLICATIONS |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-09 |
| END DATE | 2022-10-08 |
| 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 OF OMAHA INSURANCE COMPANY |
| EMPLOYER ADDRESS1 | 3300 MUTUAL OF OMAHA PLAZA |
| EMPLOYER CITY | OMAHA |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68175 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4023512631 |
| NAICS CODE | 5241 |
| EMPLOYER POC LAST NAME | MAASS |
| EMPLOYER POC FIRST NAME | SANDRA |
| EMPLOYER POC JOB TITLE | ASSOCIATE GENERAL COUNSEL |
| EMPLOYER POC ADDRESS1 | 3300 MUTUAL OF OMAHA PLAZA |
| EMPLOYER POC CITY | OMAHA |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68175 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 4023512631 |
| EMPLOYER POC EMAIL | SANDY.MAASS@MUTUALOFOMAHA.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | AMY |
| AGENT ATTORNEY FIRST NAME | AMY |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 10050 REGENCY CIRCLE |
| AGENT ATTORNEY ADDRESS2 | SUITE 400 |
| AGENT ATTORNEY CITY | OMAHA |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 4023911991.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ANGELA.BAUDLER@JACKSONLEWIS.COM |
| LAWFIRM NAME BUSINESS NAME | JACKSON LEWIS, PC |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | NEBRASKA SUPREME COURT |
| SECONDARY ENTITY | N |
| SECONDARY ENTITY BUSINESS NAME | MUTUAL OF OMAHA INSURANCE COMPANY |
| WORKSITE ADDRESS1 | 3300 MUTUAL OF OMAHA PLAZA |
| LCA CASE WORKLOC1 CITY | Omaha |
| WORKSITE COUNTY | Douglas |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68175 |
| LCA CASE WAGE RATE FROM | 101000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89939.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BAUDLER |
| PREPARER FIRST NAME | ANGELA |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | JACKSON LEWIS P.C. |
| PREPARER EMAIL | ANGELA.BAUDLER@JACKSONLEWIS.COM |